Dr. Jennifer Reavis Decker
Otolaryngologist (ENT Doctor)
595 Chapel Hills Dr Ste 240
Colorado Springs
, Colorado 80920-1056
Dr. Jennifer Reavis Decker
Otolaryngologist (ENT Doctor)
595 Chapel Hills Dr Ste 240
Colorado Springs
, Colorado 80920-1056
(719) 538-2961
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Jennifer Reavis Decker
- 2 South Cascade Avenue Suite 140
- Colorado Springs, CO
- Zip : 80903-1604
- Fax : (719) 538-2961
- Phone : (719) 538-2900
Second Address
- Dr. Jennifer Reavis Decker
- 595 Chapel Hills Dr Ste 240
- Colorado Springs, CO
- Zip : 80920-1056
- Phone : (719) 364-4120
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 52375 | CO |
National Provider Identifier
| NPI | 1013101146 |
|---|---|
| Provider Name | Dr. Jennifer Reavis Decker |
| First Address | Colorado Springs, CO 80903-1604 |
| Second Address | Colorado Springs, CO 80920-1056 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2007 |
| Last Update Date | 28/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 71951776 | (05) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.