Provider Demographics
NPI:1003961459
Name:ROWLANDS, CAROLINE BALET (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:BALET
Last Name:ROWLANDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 TENDERFOOT HILL STREET
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-1604
Mailing Address - Country:US
Mailing Address - Phone:719-538-5727
Mailing Address - Fax:719-226-8629
Practice Address - Street 1:2610 TENDERFOOT HILL STREET
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-1604
Practice Address - Country:US
Practice Address - Phone:719-538-5727
Practice Address - Fax:719-226-8629
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO360072080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01360072Medicaid
CO01360072Medicaid