John S Jachimiak
Sports Medicine Foot & Ankle Surgery Primary Podiatric Medicine
2575 Pearl St Suite 240
Boulder
, Colorado 80302-3851
John S Jachimiak
Sports Medicine Foot & Ankle Surgery Primary Podiatric Medicine
2575 Pearl St Suite 240
Boulder
, Colorado 80302-3851
(303) 442-2931
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About
Features
Specialties
- Primary Podiatric Medicine
- Sports Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- John S Jachimiak
- 2575 Pearl St Suite 240
- Boulder, CO
- Zip : 80302-3851
- Fax : (303) 442-2931
- Phone : (303) 442-2910
Second Address
- John S Jachimiak
- 2575 Pearl St Suite 240
- Boulder, CO
- Zip : 80302-3851
- Fax : (303) 442-2931
- Phone : (303) 442-2910
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213EP1101X | Primary Podiatric Medicine | CO 526 | CO |
| N | 2081S0010X | Sports Medicine | CO 526 | CO |
| N | 213ES0000X | Sports Medicine | CO 526 | CO |
| Y | 213ES0103X | Foot & Ankle Surgery | CO 526 | CO |
| N | 213ES0103X | Foot & Ankle Surgery | CO526 | CO |
National Provider Identifier
| NPI | 1043227390 |
|---|---|
| Provider Name | John S Jachimiak |
| First Address | Boulder, CO 80302-3851 |
| Second Address | Boulder, CO 80302-3851 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2006 |
| Last Update Date | 21/11/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01005263 | (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.