Basic Information
| Provider Information | |||||||||
| NPI: | 1003961459 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROWLANDS | ||||||||
| FirstName: | CAROLINE | ||||||||
| MiddleName: | BALET | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2610 TENDERFOOT HILL STREET | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809061604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7195385727 | ||||||||
| FaxNumber: | 7192268629 | ||||||||
| Practice Location | |||||||||
| Address1: | 2610 TENDERFOOT HILL STREET | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809061604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7195385727 | ||||||||
| FaxNumber: | 7192268629 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2007 | ||||||||
| LastUpdateDate: | 10/27/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080A0000X | 36007 | CO | Y | Allopathic & Osteopathic Physicians | Pediatrics | Adolescent Medicine |
ID Information
| ID | Type | State | Issuer | Description | 01360072 | 05 | CO | MEDICAID |