Provider Demographics
NPI:1871936278
Name:KLAPPER, JACK A (MD)
Entity type:Individual
Prefix:DR
First Name:JACK
Middle Name:A
Last Name:KLAPPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 E 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1110
Mailing Address - Country:US
Mailing Address - Phone:303-839-9900
Mailing Address - Fax:303-839-5430
Practice Address - Street 1:1155 E 18TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1110
Practice Address - Country:US
Practice Address - Phone:303-839-9900
Practice Address - Fax:303-839-5430
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14853174400000X, 1744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study
No174400000XOther Service ProvidersSpecialist