Provider Demographics
NPI:1780107268
Name:CULVER, JAMIE M (AUD)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:M
Last Name:CULVER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 THORNTON PKWY UNIT 240B
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-2172
Mailing Address - Country:US
Mailing Address - Phone:303-650-5800
Mailing Address - Fax:303-650-5801
Practice Address - Street 1:550 THORNTON PKWY UNIT 240B
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-2172
Practice Address - Country:US
Practice Address - Phone:303-650-5800
Practice Address - Fax:303-650-5801
Is Sole Proprietor?:No
Enumeration Date:2017-07-17
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0000879237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07-290-0945OtherDRIVERS LICENSE