Neviackas, Jordan J

Neviackas, Jordan J is an individual health care provider with primary practice located at 2045 N Franklin St , Denver CO 80205-5437. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Neviackas, Jordan J can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
2045 N Franklin St Denver CO 80205-5437
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X DR.0060033 Colorado
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Massachusetts

Profile Details

NPI number 1457610834
LBN Legal business name Neviackas, Jordan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2012
Last updated Jun 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457610834 NPPES
Colorado Other 028858 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 9000163769 KAISER COMMERCIAL NUMBER

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