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Contact Information

JENNIFER L MCCARTHY, P.A.-C
34 HYBROOK RD SOUTH
DIVIDE, CO80814
 Phone: 719-632-5700
 Fax: 719-344-7817
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER L MCCARTHY · (Female)

NPI Number 1548337249
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 11/29/2006
Last updated 04/04/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 2997
  • FL License # PA9103485
  • CO Medicaid 46681230
  • CO Other COA101228 MEDICARE NUMBER
  • FL Other 57561Z MEDICARE
Hospital affiliation(s)
  • PIKES PEAK REGIONAL HOSPITAL - (Critical Access)
    16420 HIGHWAY 24
    WOODLAND PARK, CO 80863
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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