Prevedel, John A
Prevedel, John A is an individual health care provider with primary practice located at 1444 S Potomac Street Suite 300, Aurora CO 80012-4510. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Prevedel, John A can be contacted via phone (303) 750-0822.Contact Information
Primary practice address
1444 S Potomac Street Suite 300
Aurora CO 80012-4510
Phone: (303) 750-0822
Fax: (303) 750-1298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 24985 | Colorado |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 24985 | Colorado |
Profile Details
| NPI number | 1831185776 |
|---|---|
| LBN Legal business name | Prevedel, John A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Apr 15th, 2014 - about 10 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 | 1831185776 | NPPES |
| New Mexico | MEDICAID | 01909223 | |
| New Mexico | MEDICAID | 01249853 | |
| New Mexico | MEDICAID | 10026280700 | |
| New Mexico | MEDICAID | 100174090D | |
| New Mexico | MEDICAID | 10026280600 | |
| New Mexico | MEDICAID | 10026280800 | |
| New Mexico | MEDICAID | 10026283100 | |
| New Mexico | MEDICAID | 10026281000 | |
| New Mexico | MEDICAID | 10026281200 | |
| New Mexico | MEDICAID | 1982948089 | |
| New Mexico | MEDICAID | 109800400 |
Popular Providers
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