Provider Demographics
NPI:1861709271
Name:RUBINSON, THOMAS NILES (CNIM)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:NILES
Last Name:RUBINSON
Suffix:
Gender:M
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 E. 20TH AVE
Mailing Address - Street 2:SUITE 370 #831
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205
Mailing Address - Country:US
Mailing Address - Phone:720-372-6751
Mailing Address - Fax:303-362-6615
Practice Address - Street 1:2349 GLENARM PLACE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205
Practice Address - Country:US
Practice Address - Phone:720-372-6751
Practice Address - Fax:303-362-6615
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic