Healthcare Provider Details

I. General information

NPI: 1952892101
Provider Name (Legal Business Name): MR. STEVEN ADAM GINSBURG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2018
Last Update Date: 11/30/2022
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9205 S BROADWAY
HIGHLANDS RANCH CO
80129-5631
US

IV. Provider business mailing address

1805 SHEA CENTER DR STE 301
HIGHLANDS RANCH CO
80129-2277
US

V. Phone/Fax

Practice location:
  • Phone: 303-330-0271
  • Fax: 303-330-0371
Mailing address:
  • Phone: 303-300-4103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0993931-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: