Miller, Jessica Baldovsky
Miller, Jessica Baldovsky is an individual health care provider with primary practice located at 8383 W Alameda Ave , Lakewood CO 80226-3007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Miller, Jessica Baldovsky can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
8383 W Alameda Ave
Lakewood CO 80226-3007
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2486 | Colorado |
Profile Details
| NPI number | 1033390166 |
|---|---|
| LBN Legal business name | Miller, Jessica Baldovsky |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2007 |
| Last updated | Apr 30th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033390166 | NPPES |
| Colorado | Other | 025826 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 81459297 | KAISER COMMERCIAL NUMBER |
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