Provider Demographics
NPI:1396041059
Name:DOCTORS PLUS OF COLORADO, INC.
Entity Type:Organization
Organization Name:DOCTORS PLUS OF COLORADO, INC.
Other - Org Name:DOCTORS PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:E
Authorized Official - Last Name:KOVACEVICH
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:970-949-5434
Mailing Address - Street 1:PO BOX 2819
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CO
Mailing Address - Zip Code:81620-2819
Mailing Address - Country:US
Mailing Address - Phone:970-949-5434
Mailing Address - Fax:970-949-0376
Practice Address - Street 1:142 BEAVER CREEK PLACE
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620
Practice Address - Country:US
Practice Address - Phone:970-949-5434
Practice Address - Fax:970-949-0376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-28
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO30110208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty