Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | A122669 | CA |
N | 2084N0402X | Child Neurologist | 0047038 | CO |
N | 2084N0402X | Child Neurologist | 036118168 | IL |
Y | 2084N0402X | Child Neurologist | 47038 | CO |
N | 2084N0402X | Child Neurologist | A122669 | CA |
NPI | 1245345321 |
---|---|
Provider Name | Dr. Jessica Litwin |
First Address | Denver, CO 80237-3486 |
Second Address | San Francisco, CA 94143-2204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 04/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10025757600 | (05) | NE |
1245345321 | (05) | SD |
1245345321 | (05) | WY |
18074731 | (05) | CO |
200641690A | (05) | KS |