Surovik, Jamie

Surovik, Jamie is an individual health care provider with primary practice located at 12645 E Euclid Dr , Centennial CO 80111-6437. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Surovik, Jamie can be contacted via phone (303) 493-1910.

Contact Information

Primary practice address
12645 E Euclid Dr Centennial CO 80111-6437
Phone: (303) 493-1910
Fax: (303) 493-1915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 48670 Colorado

Profile Details

NPI number 1699092221
LBN Legal business name Surovik, Jamie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2010
Last updated Dec 9th, 2020 - about 4 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 1699092221 NPPES
Colorado MEDICAID 68171315
Colorado Other 48670

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