England, Jack D
England, Jack D is an sole proprietor health care provider with primary practice located at 410 S Wilcox Street , Castle Rock CO 80104-2662. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. England, Jack D can be contacted via phone (303) 688-6900.Contact Information
Primary practice address
410 S Wilcox Street
Castle Rock CO 80104-2662
Phone: (303) 688-6900
Fax: (303) 688-1417
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 16446 | Colorado |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 16446 | Colorado |
Profile Details
NPI number | 1609856749 |
---|---|
LBN Legal business name | England, Jack D |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 17th, 2006 |
Last updated | Nov 13th, 2013 - about 11 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 | 1609856749 | NPPES |
Colorado | MEDICAID | 01164466 | |
Colorado | MEDICAID | 04007407 |
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