Jonathan Mark Lipson in Conifer - Health Service

Jonathan Mark Lipson - NPI 1023010691

Jonathan Mark Lipson is a Health Service in Conifer, Colorado. Jonathan Mark Lipson practices all healthcare services and medical treatments related to Health Service. The NPI Number for Jonathan Mark Lipson is 1023010691. The last update date is 2009-06-11.

Jonathan Mark Lipson's current location address is Po Box 478, Conifer, Colorado. You can contact this provider via phone number 3039161952 and fax number 3032784981. The mailing address for Jonathan Mark Lipson is Po Box 478, Conifer, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Mark Lipson
Address Po Box 478, Conifer, Colorado
Phone Number 3039161952
Fax Number 3032784981
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1023010691
Provider Enumeration Date 2005-08-12
Last Updated Date 2009-06-11

Provider Mailing Address Detail

Address Po Box 478
City Conifer
State Colorado (CO)
Post Code 804330478
Phone Number 3039161952
Fax Number 3032784981

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 103Th0100X
Licence No 2129
Definition:
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7021298 CO --
LIA53624 BLUE CROSS BLUE SHIELD

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FAQs about Jonathan Mark Lipson

What is the unique 10-digit identification code issued to Jonathan Mark Lipson by the Centers for Medicare & Medicaid Services?

The Jonathan Mark Lipson has been assigned the NPI (National Provider Identifier) 1023010691 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Jonathan Mark Lipson is located?

The Jonathan Mark Lipson is situated at the following address: Po Box 478, Conifer, CO, 804330478.

What is Jonathan Mark Lipson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jonathan Mark Lipson is Health Service, and the taxonomy classification code that categorizes this area of expertise is 103Th0100X.

On what date did Jonathan Mark Lipson receive its 1023010691 assignment from the Centers for Medicare & Medicaid Services?

The Jonathan Mark Lipson was assigned its 1023010691 on 2005-08-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jonathan Mark Lipson last refreshed?

The information related to the Jonathan Mark Lipson, including its address, specialty, and other relevant details, was last updated on 2009-06-11.

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