Davalos, Jorge
Davalos, Jorge is an individual health care provider with primary practice located at 1400 E Boulder St Suite 700, Colorado Springs CO 80909-5533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Davalos, Jorge can be contacted via phone (719) 635-7172.Contact Information
Primary practice address
1400 E Boulder St Suite 700
Colorado Springs CO 80909-5533
Phone: (719) 635-7172
Fax: (719) 444-3759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2005-01066 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 47345 | Colorado |
Profile Details
| NPI number | 1043436827 |
|---|---|
| LBN Legal business name | Davalos, Jorge |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Sep 17th, 2021 - about 3 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 | 1043436827 | NPPES |
| Colorado | MEDICAID | 73402541 |
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