Provider Demographics
NPI:1447322003
Name:SOPO-JONES, CHRISTINE AGNES (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:AGNES
Last Name:SOPO-JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7750 S BROADWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2623
Mailing Address - Country:US
Mailing Address - Phone:303-347-9897
Mailing Address - Fax:303-347-9912
Practice Address - Street 1:7750 S BROADWAY STE 100
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2630
Practice Address - Country:US
Practice Address - Phone:303-347-9897
Practice Address - Fax:303-347-9912
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO56432207R00000X
NC200101140207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC232009OtherMEDICARE PTAN, GROUP
NC2297763AOtherMEDICARE PTAN, INDIVIDUAL
NC891290JMedicaid