Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 229553 | MA |
N | 207X00000X | Orthopaedic Surgeon | P0415 | TX |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 054635 | CO |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | P0415 | TX |
NPI | 1063535987 |
---|---|
Provider Name | Dr. Jeffrey R Jockel |
First Address | Denver, CO 80247-1314 |
Second Address | Denver, CO 80205-5437 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2007 |
Last Update Date | 07/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
025449 | KAISER COMMERCIAL NUMBER (01) | CO |