Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 38583 | CO |
Y | 111NI0900X | Internist | 38583 | CO |
N | 207RH0002X | Hospice and Palliative Medicine | 38583 | CO |
NPI | 1396872347 |
---|---|
Provider Name | Dr. Jeremiah I Kaplan |
First Address | Boulder, CO 80302-8023 |
Second Address | Boulder, CO 80302-8023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 01/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04334361 | (05) | CO |
4334661 | (05) | CO |
H29255 | (02) | CO |