Individual
DR. JONATHAN EDWARD BLACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8000 E PRENTICE AVE, SUITE D-12, GREENWOOD VILLAGE, CO 80111-2744
(303) 795-3443
(303) 290-6317
Mailing address
8000 E PRENTICE AVE, SUITE D-12, GREENWOOD VILLAGE, CO 80111-2744
(303) 795-3443
(303) 290-6317
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
27023
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01270230
—
CO
01
—
1063746972
GROUP NPI
—
05
—
44176279
—
CO
Enumeration date
02/16/2007
Last updated
01/13/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us