Colburn, Jeanine G
Colburn, Jeanine G is an individual health care provider with primary practice located at 155 Palm Springs Dr , Colorado Springs CO 80921-2669. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Colburn, Jeanine G can be contacted via phone (719) 536-0517.Contact Information
Primary practice address
155 Palm Springs Dr
Colorado Springs CO 80921-2669
Phone: (719) 536-0517
Fax: (719) 488-0296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 1184 | Colorado |
Profile Details
| NPI number | 1740259787 |
|---|---|
| LBN Legal business name | Colburn, Jeanine G |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740259787 | NPPES |
| Colorado | MEDICAID | 35476559 |
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