Miller, Jessica Baldovsky

Miller, Jessica Baldovsky is an individual health care provider with primary practice located at 8383 W Alameda Ave , Lakewood CO 80226-3007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Miller, Jessica Baldovsky can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
8383 W Alameda Ave Lakewood CO 80226-3007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2486 Colorado

Profile Details

NPI number 1033390166
LBN Legal business name Miller, Jessica Baldovsky
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2007
Last updated Apr 30th, 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 1033390166 NPPES
Colorado Other 025826 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 81459297 KAISER COMMERCIAL NUMBER

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