Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 42018 | CO |
NPI | 1023125655 |
---|---|
Provider Name | Eric L Caplan |
First Address | Colorado Springs, CO 80932-0190 |
Second Address | Colorado Springs, CO 80909-1180 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 16/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
61687049 | (05) | CO |
H75358 | (02) | CO |