Mao, Jie

Mao, Jie is an individual health care provider with primary practice located at 1100 Balsam Ave Radiology, Boulder CO 80304-3404. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Mao, Jie can be contacted via phone (303) 440-2273.

Contact Information

Primary practice address
1100 Balsam Ave Radiology Boulder CO 80304-3404
Phone: (303) 440-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 41795 Colorado
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X DR.0041795 Colorado

Profile Details

NPI number 1942293485
LBN Legal business name Mao, Jie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Mar 15th, 2021 - about 3 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 1942293485 NPPES
Colorado MEDICAID 96073721

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