Provider Demographics
NPI:1073613881
Name:BELMAR WOMENS CARE P.C.
Entity Type:Organization
Organization Name:BELMAR WOMENS CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROKOSZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-531-4692
Mailing Address - Street 1:7114 W JEFFERSON AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80235-2356
Mailing Address - Country:US
Mailing Address - Phone:303-531-4692
Mailing Address - Fax:303-741-5499
Practice Address - Street 1:7114 W JEFFERSON AVE STE 205
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2356
Practice Address - Country:US
Practice Address - Phone:303-531-4692
Practice Address - Fax:303-741-5499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04015210Medicaid
COC804074Medicare PIN
CO04015210Medicaid