Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A95540 | CA |
N | 208000000X | Pediatrician | DR.0057134 | CO |
NPI | 1013030337 |
---|---|
Provider Name | Dr. Carl A. Nosek |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 17/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101774 | SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER (01) | |
RES000 | (02) |