Pomerantz, Jacob Marc

Pomerantz, Jacob Marc is an sole proprietor health care provider with primary practice located at 8670 Wolff Ct Suite 130, Westminster CO 80031-6956. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Pomerantz, Jacob Marc can be contacted via phone (720) 971-9369.

Contact Information

Primary practice address
8670 Wolff Ct Suite 130 Westminster CO 80031-6956
Phone: (720) 971-9369
Fax: (303) 430-5306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 2064 Colorado
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2064 Colorado
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 2064 Colorado

Profile Details

NPI number 1316090483
LBN Legal business name Pomerantz, Jacob Marc
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 9th, 2007 - about 17 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 1316090483 NPPES
Colorado MEDICAID 04142246
Colorado MEDICAID 07020647

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