Healthcare Provider Details

I. General information

NPI: 1457285298
Provider Name (Legal Business Name): JOHN ALDOUS MANASJAN NREMT-P, FP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 STANLEY RD
DUMONT CO
80436-5097
US

IV. Provider business mailing address

90 N CORONA ST APT 803
DENVER CO
80218-3886
US

V. Phone/Fax

Practice location:
  • Phone: 303-434-0389
  • Fax:
Mailing address:
  • Phone: 720-333-5086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberM5088948
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: