Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 40796 | CO |
NPI | 1073669602 |
---|---|
Provider Name | Jennifer Janssen |
First Address | Denver, CO 80262-0001 |
Second Address | Denver, CO 80262-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 20/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
43172237 | (05) | CO |
H36166 | (02) | CO |