Provider Demographics
NPI:1831164565
Name:SHIFFRIN, ALAN LEWIS (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LEWIS
Last Name:SHIFFRIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:650 S CHERRY ST
Mailing Address - Street 2:SUITE 1060
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1801
Mailing Address - Country:US
Mailing Address - Phone:303-355-3755
Mailing Address - Fax:303-377-3849
Practice Address - Street 1:650 S CHERRY ST
Practice Address - Street 2:SUITE 1060
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1801
Practice Address - Country:US
Practice Address - Phone:303-355-3755
Practice Address - Fax:303-377-3849
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO186982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01186980Medicaid
CO01186980Medicaid