Markussen, Jerry E
Markussen, Jerry E is an individual health care provider with primary practice located at 200 Exempla Cir , Lafayette CO 80026-3370. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Markussen, Jerry E can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
200 Exempla Cir
Lafayette CO 80026-3370
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42097 | Colorado |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 42097 | Colorado |
Profile Details
| NPI number | 1154458180 |
|---|---|
| LBN Legal business name | Markussen, Jerry E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Sep 28th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154458180 | NPPES |
| Colorado | MEDICAID | 89337760 | |
| Colorado | Other | 015171 |
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