MEDICARE: JONATHAN CARL KARSTEN 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
1	363AM0700X	Medical Physician Assistant	2006	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1639187966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN CARL KARSTEN PA

Provider Business Mailing Address
First Line	:	PO BOX 467
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80001-0467
Country	:	US
Telephone Number	:	303-422-7991
Fax Number	:	303-422-7994

Provider Business Practice Location Address
First Line	:	8451 PEARL STREET
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80229
Country	:	US
Telephone Number	:	303-422-7991
Fax Number	:	303-422-7994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	07/08/2007

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