Jane Miceli, Md Prof. Llc | |
3540 S Poplar St Suite 305 Denver CO 80237-1360 | |
(303) 691-6842 | |
(303) 322-4540 |
Full Name | Jane Miceli, Md Prof. Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3540 S Poplar St, Denver, Colorado |
Authorized Official Name and Position | Jane F. Miceli (OWNER/ SOLE PROPRIETER) |
Authorized Official Contact | 3036916842 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jane Miceli, Md Prof. Llc 3540 S Poplar St Suite 305 Denver CO 80237-1360 Ph: (303) 691-6842 | Jane Miceli, Md Prof. Llc 3540 S Poplar St Suite 305 Denver CO 80237-1360 Ph: (303) 691-6842 |
NPI Number | 1730387994 |
---|---|
Provider Enumeration Date | 07/10/2007 |
Last Update Date | 07/10/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730387994 | NPI | - | NPPES |
1104907708 | Other | INDIVIDUAL NPI | |
451368 | Other | MEDICARE GROUP IDENTIFIER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 30540 (Colorado) | Primary |
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