| Doctor Name: | DR. DANIEL BROOK JINICH |
| NPI Number: | 1013928779 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 24687 |
| Business Practice Address: | 2001 South Shields Bldg E Suite 201 Fort Collins, CO - 80526 |
| Business Phone Number: | 9702219991 |
| Business Fax Number: | 9702219992 |
| Mailing Address: | 2001 South Shields, Bldg E Suite 201 FORT COLLINS |
| State: | CO |
| Postal Code: | 80526 |
| Phone Number: | 9702219991 |
| Fax Number: | 9702219992 |
| NPI Enumeration Date: | 08/10/2006 |
| NPI Last Update Date: | 12/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0401X |
| License Number: | 24687 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |