Provider Demographics
NPI:1144543273
Name:NESTMAN ENG LLC
Entity type:Organization
Organization Name:NESTMAN ENG LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:ARAGON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-498-0351
Mailing Address - Street 1:18335 E 103RD AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-0658
Mailing Address - Country:US
Mailing Address - Phone:303-498-0351
Mailing Address - Fax:303-945-7904
Practice Address - Street 1:18335 E 103RD AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-0658
Practice Address - Country:US
Practice Address - Phone:303-498-0351
Practice Address - Fax:303-945-7904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9817122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1093941981OtherNPI