Provider Demographics
NPI:1700827094
Name:ALPER, JOHANNA (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MS
First Name:JOHANNA
Middle Name:
Last Name:ALPER
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8543 W FORK RD
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-9389
Mailing Address - Country:US
Mailing Address - Phone:303-444-3319
Mailing Address - Fax:
Practice Address - Street 1:1800 30TH STREET
Practice Address - Street 2:#307
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1026
Practice Address - Country:US
Practice Address - Phone:303-442-7019
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO170171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist