Provider Demographics
NPI:1265413348
Name:JANETTE L. S. JAVIER, M.D. PC
Entity type:Organization
Organization Name:JANETTE L. S. JAVIER, M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAVIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-761-3949
Mailing Address - Street 1:3535 S LAFAYETTE ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3957
Mailing Address - Country:US
Mailing Address - Phone:303-761-3949
Mailing Address - Fax:303-761-3660
Practice Address - Street 1:3535 S LAFAYETTE ST
Practice Address - Street 2:SUITE 105
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3957
Practice Address - Country:US
Practice Address - Phone:303-761-3949
Practice Address - Fax:303-761-3660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty