Provider Demographics
NPI:1609565498
Name:TBD HEALTH INC.
Entity type:Organization
Organization Name:TBD HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER; CO-CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-771-1095
Mailing Address - Street 1:680 E MAIN ST # 1108
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-2113
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1030 55TH ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2930
Practice Address - Country:US
Practice Address - Phone:720-771-1095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care