Provider Demographics
NPI:1033950324
Name:BOTHSONS INC
Entity type:Organization
Organization Name:BOTHSONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CANDIS
Authorized Official - Middle Name:ERIN
Authorized Official - Last Name:GAERTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-288-8090
Mailing Address - Street 1:7323 S COSTILLA ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-3901
Mailing Address - Country:US
Mailing Address - Phone:720-288-8090
Mailing Address - Fax:
Practice Address - Street 1:7323 S COSTILLA ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-3901
Practice Address - Country:US
Practice Address - Phone:720-288-8090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage