National Provider Identifier Database

JENNIFER M DIVINE, MD – NPI #1063779072
MOHS-Micrographic Surgery

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.


Contact Information

JENNIFER M DIVINE, MD
1260 DOCTOR'S LANE
FORT COLLINS, CO80524
Phone: 970-286-2668
Fax: 970-294-4954
Website:
Specialty Taxonomy Code
* MOHS-Micrographic Surgery 207ND0101X

* Indicates primary specialty

NPI Profile & details for JENNIFER M DIVINE

NPI Number 1063779072
Credentials MD
Entity Individual
Enumeration date 04/15/2012
Last updated 07/19/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • CO License #: DR.0058205
  • FL License #: ME 131766
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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