Smardo, Jack R
Smardo, Jack R is an individual health care provider with primary practice located at 499 East Hampden #320, Englewood CO 80113-2793. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Smardo, Jack R can be contacted via phone (303) 781-8439.Contact Information
Primary practice address
499 East Hampden #320
Englewood CO 80113-2793
Phone: (303) 781-8439
Fax: (303) 788-6115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 24084 | Colorado |
Profile Details
| NPI number | 1386630234 |
|---|---|
| LBN Legal business name | Smardo, Jack R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Aug 17th, 2015 - about 9 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 | 1386630234 | NPPES |
| Colorado | MEDICAID | 01240845 |
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