Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 29782 | CO |
N | 207XS0117X | Orthopaedic Spine Surgeon | 29782 | CO |
NPI | 1356338644 |
---|---|
Provider Name | Dr. Jeffrey John Sabin |
First Address | Lakewood, CO 80228-1810 |
Second Address | Lakewood, CO 80228-1810 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01297829 | (05) | CO |
A17553 | (02) |