Individual
JOHN S JACHIMIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2575 PEARL ST, SUITE 240, BOULDER, CO 80302-3851
(303) 442-2910
(303) 442-2931
Mailing address
2575 PEARL ST, SUITE 240, BOULDER, CO 80302-3851
(303) 442-2910
(303) 442-2931
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
CO 526
CO
213ES0000X
Sports Medicine Podiatrist
CO 526
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
CO 526
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
CO526
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01005263
—
CO
Enumeration date
08/01/2006
Last updated
11/21/2016
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