Mandl, Jeffrey Anthony

Mandl, Jeffrey Anthony is an individual health care provider with primary practice located at 433 Summit Blvd Unit 201 , Broomfield CO 80021. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mandl, Jeffrey Anthony can be contacted via phone (303) 673-9090.

Contact Information

Primary practice address
433 Summit Blvd Unit 201 Broomfield CO 80021
Phone: (303) 673-9090
Fax: (303) 673-9195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0990912 Colorado

Profile Details

NPI number 1518234384
LBN Legal business name Mandl, Jeffrey Anthony
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2011
Last updated Aug 6th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518234384 NPPES
Colorado MEDICAID 69070865

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