Healthcare Provider Details

I. General information

NPI: 1992096861
Provider Name (Legal Business Name): JAMES ROBERT COVINGTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JAMES ROBERT COVINGTON CRT

II. Dates (important events)

Enumeration Date: 04/27/2011
Last Update Date: 04/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 BROADWAY
DENVER CO
80205-2526
US

IV. Provider business mailing address

2100 BROADWAY ST
DENVER CO
80205
US

V. Phone/Fax

Practice location:
  • Phone: 303-291-6944
  • Fax: 303-293-3977
Mailing address:
  • Phone: 303-291-6944
  • Fax: 303-293-3977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number3339
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: