JAN PAUL GOLDBERG NPI 1700263183

NPI Information

NPI: 1700263183
Provider Name: JAN PAUL GOLDBERG
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
816 ACOMA ST
1113
DENVER, CO
ZIP 80204
Phone: (303) 912-4900
Get Directions

JAN PAUL GOLDBERG is a methadone clinic center in Denver, CO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. JAN PAUL GOLDBERG NPI is 1700263183. The provider is registered as an organization entity type.

The provider's business location address is:

816 ACOMA ST
1113
DENVER, CO
ZIP 80204-010
Phone: (303) 912-4900
Fax: (720) 328-9367

The provider's authorized official is Jan Paul Goldberg .
The authorized official title is Owner and has the following contact phone number (303) 912-4900.

The enumeration date for this NPI number is 5/5/2015 and was last updated on 5/5/2015.

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
1	261QM2800X	Clinic/Center	Methadone	21715	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	21715	OTHER	COLORADO	COLORADO LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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