Provider Demographics
NPI:1972768257
Name:SCHLAFLY, JEANIE M (DO)
Entity type:Individual
Prefix:DR
First Name:JEANIE
Middle Name:M
Last Name:SCHLAFLY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7386 W CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-5608
Mailing Address - Country:US
Mailing Address - Phone:720-839-4296
Mailing Address - Fax:
Practice Address - Street 1:7386 W CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-5608
Practice Address - Country:US
Practice Address - Phone:720-839-4296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-25
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO51208207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO026116OtherKAISER COMMERCIAL NUMBER
CO80587577Medicaid
CO026116OtherKAISER COMMERCIAL NUMBER