Healthcare Provider Details

I. General information

NPI: 1942761994
Provider Name (Legal Business Name): JEFFREY FERRIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2019
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10099 RIDGEGATE PKWY STE 200
LONE TREE CO
80124-5532
US

IV. Provider business mailing address

10099 RIDGEGATE PKWY STE 200
LONE TREE CO
80124-5532
US

V. Phone/Fax

Practice location:
  • Phone: 720-875-2889
  • Fax:
Mailing address:
  • Phone: 720-875-2889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberDR.0066879
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: