Buck Jack Llc

LBN: Buck Jack Llc
Buck Jack Llc is an health care organization with primary practice located at 3131 S Vaughn Way Ste 110 , Aurora CO 80014-3501. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Buck Jack Llc can be contacted via phone (303) 755-5534, or through Colt, William via phone (713) 410-6889.

Contact Information

Primary practice address
3131 S Vaughn Way Ste 110 Aurora CO 80014-3501
Phone: (303) 755-5534
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colt, William
Phone: (713) 410-6889

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1871107995
LBN Legal business name Buck Jack Llc
DBA Doing business as
Authorized official Colt, William
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2020
Last updated Sep 4th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871107995 NPPES
Colorado MEDICAID 9000181601

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