Christopher Alexander St. John
Individual provider Active NPI Contractor · Henderson, CO
NPI 1003274036 · NPPES record last updated Feb 4, 2016
Key facts
- NPI
- 1003274036
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 11501 Jamaica St
Henderson, CO 80640-7688 - Phone
- (303) 332-4933
- NPI assigned
- Feb 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
11501 Jamaica St
Henderson, CO 80640-7688
Mailing address
11501 Jamaica St
Henderson, CO 80640-7688
Phone (303) 332-4933
Other providers in Henderson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.