Provider Demographics
NPI:1942509237
Name:KREBS, NICHOLAS JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:JAMES
Last Name:KREBS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 VILLAGE SQUARE DR STE 207
Mailing Address - Street 2:
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108-3708
Mailing Address - Country:US
Mailing Address - Phone:720-779-1991
Mailing Address - Fax:
Practice Address - Street 1:7501 VILLAGE SQUARE DR STE 207
Practice Address - Street 2:
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-3708
Practice Address - Country:US
Practice Address - Phone:720-779-1991
Practice Address - Fax:303-694-2680
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO54126208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics