PEARL PODIATRY HEALTH CENTER LLC NPI 1013389840

NPI Information

  • NPI: 1013389840
  • Provider Name: PEARL PODIATRY HEALTH CENTER, LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 2575 PEARL ST
    SUITE #240
    BOULDER, CO
    ZIP 80302
  • Phone: (303) 442-2910

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NPI Details

PEARL PODIATRY HEALTH CENTER, LLC is a clinic center in Boulder, CO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PEARL PODIATRY HEALTH CENTER, LLC NPI is 1013389840. The provider is registered as an organization entity type.

The provider's business location address is:

2575 PEARL ST
SUITE #240
BOULDER, CO
ZIP 80302-868
Phone: (303) 442-2910
Fax: (303) 442-2931

The provider's authorized official is John Jachimiak .
The authorized official title is Owner/president and has the following contact phone number (303) 442-2910.

The enumeration date for this NPI number is 10/20/2015 and was last updated on 10/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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