Guevara, Jerry Brent
Guevara, Jerry Brent is an sole proprietor health care provider with primary practice located at 620 Southpointe Ct Ste 290, Colorado Springs CO 80906-3897. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Guevara, Jerry Brent can be contacted via phone (719) 344-8057.Contact Information
Primary practice address
620 Southpointe Ct Ste 290
Colorado Springs CO 80906-3897
Phone: (719) 344-8057
Fax: (719) 344-8114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4937 | Colorado |
Profile Details
| NPI number | 1366445447 |
|---|---|
| LBN Legal business name | Guevara, Jerry Brent |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Oct 14th, 2013 - about 12 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 | 1366445447 | NPPES |
| Colorado | Other | 801231 | MEDICARE |
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