Provider Demographics
NPI:1497011373
Name:JAIMIE ZELKIN NP, LLC
Entity Type:Organization
Organization Name:JAIMIE ZELKIN NP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:JAIMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-846-9555
Mailing Address - Street 1:PO BOX 880167
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80488-0167
Mailing Address - Country:US
Mailing Address - Phone:970-846-9555
Mailing Address - Fax:
Practice Address - Street 1:940 CENTRAL PARK DR
Practice Address - Street 2:SUITE 190
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8816
Practice Address - Country:US
Practice Address - Phone:970-846-9555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-05
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO990321261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty