Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 49188 | CO |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 036123644 | IL |
NPI | 1487819702 |
---|---|
Provider Name | Dr. Jared R.h. Foran |
First Address | Golden, CO 80401-9541 |
Second Address | Golden, CO 80401-9541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2008 |
Last Update Date | 14/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1633878 | BCBS (01) | IL |
39032388 | (05) | CO |
9770386 | AETNA (01) | IL |