1649681792 NPI number — MR. NICHOLAS EDWARD NEUJAHR MSW

Table of content: MR. NICHOLAS EDWARD NEUJAHR MSW (NPI 1649681792)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649681792 NPI number — MR. NICHOLAS EDWARD NEUJAHR MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NEUJAHR
Provider First Name:
NICHOLAS
Provider Middle Name:
EDWARD
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649681792
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/12/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11059 E BETHANY DR
Provider Second Line Business Mailing Address:
STE 200
Provider Business Mailing Address City Name:
AURORA
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80014-2622
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-617-2300
Provider Business Mailing Address Fax Number:
303-617-2397

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11059 E BETHANY DR
Provider Second Line Business Practice Location Address:
STE 200
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80014-2622
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-617-2300
Provider Business Practice Location Address Fax Number:
303-617-2397
Provider Enumeration Date:
05/12/2014

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: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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