WILLIAM J PEARSON NPI 1770727471

NPI Information

NPI: 1770727471
Provider Name: WILLIAM J PEARSON
Classification: Contractor - 171WH0202X
Entity Type: Individual

Specialization: Home Modifications

Address:
264 CRADLE LAKE DR
DIVIDE, CO
ZIP 80814
Phone: (719) 687-3412
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William J Pearson is a home modifications contractor in Divide, CO. William J Pearson NPI is 1770727471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

264 CRADLE LAKE DR
DIVIDE, CO
ZIP 80814-780
Phone: (719) 687-3412

The enumeration date for this NPI number is 4/24/2009 and was last updated on 4/24/2009.

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	171WH0202X	Contractor	Home Modifications			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	33188564	MEDICAID	COLORADO

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: 11/14/2023

NPI Synchronization or Removal

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