Healthcare Provider Details

I. General information

NPI: 1881396596
Provider Name (Legal Business Name): CAITLIN STEIN JACKSON DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E HAMPDEN AVE STE 370
ENGLEWOOD CO
80113-2796
US

IV. Provider business mailing address

601 E HAMPDEN AVE STE 370
ENGLEWOOD CO
80113-2796
US

V. Phone/Fax

Practice location:
  • Phone: 303-788-3100
  • Fax: 303-788-3197
Mailing address:
  • Phone: 303-788-3100
  • Fax: 303-788-3197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0073693
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: