National Provider Identifier Database

JACLYN REDAR, CP – NPI #1790476703
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

JACLYN REDAR, CP
4110 BRIARGATE PARKWAY
SUITE 300
COLORADO SPRINGS, CO80920-7837
Phone: 719-867-7335
Fax: 719-867-7311
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for JACLYN REDAR

NPI Number 1790476703
Credentials CP
Entity Individual
Enumeration date 05/19/2023
Last updated 05/19/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers n/a
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.

Reviews for JACLYN REDAR, CP

There are currently no reviews for JACLYN REDAR, CP


NPIdb - Home
v2.201