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NPI Code Detail

MEDICARE: SHERRI L EKOBENA PA

MEDICARE: SHERRI L EKOBENA PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA.0004843CO
2363AM0700XMedical Physician Assistant1554WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255336640
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRI L EKOBENA PA
Provider Business Mailing Address
First Line : 2535 S DOWNING ST STE 360
Second Line :
City : DENVER
State : CO
Zip : 80210-5850
Country : US
Telephone Number : 303-260-2740
Fax Number : 303-260-2741
Provider Business Practice Location Address
First Line : 2535 S DOWNING ST STE 360
Second Line :
City : DENVER
State : CO
Zip : 80210-5850
Country : US
Telephone Number : 303-260-2740
Fax Number : 303-260-2741
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 03/17/2018

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Directions to “ SHERRI L EKOBENA PA” Practice Location

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