Doctor Name: | DR. JAMES EUGENE JENNINGS |
NPI Number: | 1962436055 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 40425 |
Business Practice Address: | 1181 Wyndemere Cir Longmont, CO - 805012321 |
Business Phone Number: | 3036515111 |
Business Fax Number: | |
Mailing Address: | 5406 Cannon Mountain Way, LONGMONT |
State: | CO |
Postal Code: | 805032704 |
Phone Number: | 3038122288 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 06/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 40425 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |