Miklin, Jerry S

Miklin, Jerry S is an individual health care provider with primary practice located at 3655 Lutheran Pkwy Suite 201, Wheat Ridge CO 80033-6018. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Miklin, Jerry S can be contacted via phone (303) 603-9800.

Contact Information

Primary practice address
3655 Lutheran Pkwy Suite 201 Wheat Ridge CO 80033-6018
Phone: (303) 603-9800
Fax: (303) 403-6209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25248 Colorado
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 25248 Colorado
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 25248 Colorado

Profile Details

NPI number 1689631822
LBN Legal business name Miklin, Jerry S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jul 29th, 2014 - about 12 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 1689631822 NPPES
Colorado MEDICAID 01252485

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