Jachimiak, John S

Jachimiak, John S is an sole proprietor health care provider with primary practice located at 2575 Pearl St Suite 240, Boulder CO 80302-3851. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Jachimiak, John S can be contacted via phone (303) 442-2910.

Contact Information

Primary practice address
2575 Pearl St Suite 240 Boulder CO 80302-3851
Phone: (303) 442-2910
Fax: (303) 442-2931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X CO 526 Colorado
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X CO 526 Colorado
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X CO 526 Colorado
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X CO526 Colorado

Profile Details

NPI number 1043227390
LBN Legal business name Jachimiak, John S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Nov 21st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043227390 NPPES
Colorado MEDICAID 01005263

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