Provider Demographics
NPI:1922697382
Name:AUBERMANN, JOHN FRANK
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:FRANK
Last Name:AUBERMANN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14630 CRUMP PL
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4416
Mailing Address - Country:US
Mailing Address - Phone:303-562-5398
Mailing Address - Fax:
Practice Address - Street 1:4050 FUTURE ST
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-3871
Practice Address - Country:US
Practice Address - Phone:303-562-5398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO112454183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO11244OtherCOLORADO