Polly R Jesse in Lafayette - General Practice

Polly R Jesse - NPI 1629105606

Polly R Jesse is a General Practice in Lafayette, Colorado. Polly R Jesse practices all healthcare services and medical treatments related to General Practice. The NPI Number for Polly R Jesse is 1629105606. The last update date is 2007-07-08.

Polly R Jesse's current location address is 280 Exempla Cir, Lafayette, Colorado. You can contact this provider via phone number 3037435855. The mailing address for Polly R Jesse is 280 Exempla Cir, Lafayette, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Polly R Jesse
Address 280 Exempla Cir, Lafayette, Colorado
Phone Number 3037435855
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1629105606
Provider Enumeration Date 2007-02-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 280 Exempla Cir
City Lafayette
State Colorado (CO)
Post Code 800263370
Phone Number 3037435855
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 59950
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11549 KAISER-COMMERCIAL NUMBER

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FAQs about Polly R Jesse

What is the Polly R Jesse's 1629105606?

The Polly R Jesse's NPI (National Provider Identifier) Number is 1629105606. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Polly R Jesse's facilities are situated?

The facilities of Polly R Jesse are physically located at the following address: 280 Exempla Cir, Lafayette, CO, 800263370.

What is Polly R Jesse's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Polly R Jesse is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.

On what date was the 1629105606 assigned to Polly R Jesse?

The Polly R Jesse was issued its 1629105606 on 2007-02-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Polly R Jesse last refreshed?

The information related to the Polly R Jesse, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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