1861447583 NPI number — DR. CAROL ZAPALOWSKI M.D.

Table of content: DR. CAROL ZAPALOWSKI M.D. (NPI 1861447583)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861447583 NPI number — DR. CAROL ZAPALOWSKI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZAPALOWSKI
Provider First Name:
CAROL
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

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:
1861447583
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/13/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3865 CHERRY CREEK DR NORTH
Provider Second Line Business Mailing Address:
322
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80209
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-394-0031
Provider Business Mailing Address Fax Number:
303-388-1069

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3865 CHERRY CREEK DR NORTH
Provider Second Line Business Practice Location Address:
322
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-394-0031
Provider Business Practice Location Address Fax Number:
303-388-1069
Provider Enumeration Date:
05/23/2006

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: 207RE0101X , with the licence number:  27844 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 01278449 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00380058 . This is a "RR MEDICARE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




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