Brockbank, Justin Clark
Brockbank, Justin Clark is an individual health care provider with primary practice located at 6011 E Woodmen Rd Ste 115 , Colorado Springs CO 80923-2603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Brockbank, Justin Clark can be contacted via phone (719) 638-1122.Contact Information
Primary practice address
6011 E Woodmen Rd Ste 115
Colorado Springs CO 80923-2603
Phone: (719) 638-1122
Fax: (719) 638-1123
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sleep Medicine | 2080S0012X | DR.0070638 | Colorado |
Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 0101243493 | Virginia |
Profile Details
NPI number | 1396954699 |
---|---|
LBN Legal business name | Brockbank, Justin Clark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 22nd, 2007 |
Last updated | Mar 1st, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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