1134253925 NPI number — MS. MARY JAYNE MUGGLI

Table of content: MS. MARY JAYNE MUGGLI (NPI 1134253925)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134253925 NPI number — MS. MARY JAYNE MUGGLI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MUGGLI
Provider First Name:
MARY
Provider Middle Name:
JAYNE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MUGGLI
Provider Other First Name:
JAYNIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1134253925
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7925 W LAYTON AVE
Provider Second Line Business Mailing Address:
UNIT 528
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80123-1315
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-948-9505
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6700 W 44TH AVE
Provider Second Line Business Practice Location Address:
LOST & FOUND, INC.
Provider Business Practice Location Address City Name:
WHEAT RIDGE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-420-8080
Provider Business Practice Location Address Fax Number:
303-420-9299
Provider Enumeration Date:
03/15/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)