Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 5522 | NE |
Y | 207YS0123X | Facial Plastic Surgeon | 30949 | AL |
NPI | 1437379377 |
---|---|
Provider Name | Dr. Jeffrey Le Schmidt |
First Address | Englewood, CO 80112-5137 |
Second Address | Englewood, CO 80112-5137 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 25/01/2013 |