Individual provider · NPI-1
James Samuel Botwright, MT(AAB), TSO, CIC
Preventive Medicine, Public Health & General Preventive Medicine · Manitou Springs, CO
NPI number1992370019
StatusActive
Last updated in NPPESMay 21, 2021
Details
- NPI
- 1992370019
- Entity type
- Individual (NPI-1)
- Name
- James Samuel Botwright
- Credential
- MT(AAB), TSO, CIC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2021
- Certification date
- May 6, 2021
- Last updated
- May 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | 105785 | CO | Yes |
| 246ZB0500X | Specialist/Technologist, Other, Biochemist | – | – | |
| 251K00000X | Public Health or Welfare | – | – | |
| 246QH0401X | Spec/Tech, Pathology, Hemapheresis Practitioner | – | – | |
| 246QM0706X | Spec/Tech, Pathology, Medical Technologist | – | – | |
| 246QM0900X | Spec/Tech, Pathology, Microbiology | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 207ZB0001X | Pathology, Blood Banking & Transfusion Medicine | 20122376 | CO | |
| 174H00000X | Health Educator | – | – | |
| 207ZI0100X | Pathology, Immunopathology | 20122376 | CO | |
| 207KI0005X | Allergy & Immunology, Clinical & Laboratory Immunology | 20122376 | CO | |
| 207ZM0300X | Pathology, Medical Microbiology | 20122376 | CO | |
| 207ZP0105X | Pathology, Clinical Pathology/Laboratory Medicine | 20122376 | CO | |
| 246QB0000X | Spec/Tech, Pathology, Blood Banking | – | – | |
| 405300000X | Prevention Professional | 105785 | CO |
Practice location
30 El Paso Blvd Apt 8Manitou Springs, CO 80829-2451
Phone 214-940-9177
Mailing address
30 El Paso Blvd Apt 8Manitou Springs, CO 80829-2451
Phone 214-940-9177
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