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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043436827 NPPES
Colorado MEDICAID 73402541

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