MEDICARE: HENRY J BECKWITT MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	15307	CO
2	207RP1001X	Pulmonary Disease Physician	15307	CO
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	15307	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1528191053	OTHER	CO	NPI(INDIVIDUAL)

General Provider Information

NPI Number	:	1427289958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENRY J BECKWITT MD PC

Provider Business Mailing Address
First Line	:	4770 E PRINCETON AVE
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-5016
Country	:	US
Telephone Number	:	303-573-7900
Fax Number	:

Provider Business Practice Location Address
First Line	:	4101 W CONEJOS PL STE 300
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-1349
Country	:	US
Telephone Number	:	303-573-7900
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HENRY J BECKWITT
Credential	:	MD
Telephone Number	:	303-573-7900

Provider Enumeration Date	:	07/31/2009
Last Update Date	:	07/31/2009

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