Provider Demographics
NPI:1922155175
Name:MOLINA, JOHN P (AUD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:MOLINA
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
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Mailing Address - Street 1:4140 E WARREN AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4949
Mailing Address - Country:US
Mailing Address - Phone:303-956-8577
Mailing Address - Fax:303-840-9617
Practice Address - Street 1:1550 S POTOMAC ST STE 305
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5433
Practice Address - Country:US
Practice Address - Phone:303-369-1096
Practice Address - Fax:303-369-1097
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO436231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO551558Medicare PIN