Jenks, Selisa Smitson
Jenks, Selisa Smitson is an sole proprietor health care provider with primary practice located at 142 S Raven Mine Dr Ste 250 , Colorado Springs CO 80905-4406. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Jenks, Selisa Smitson can be contacted via phone (719) 579-6890.Contact Information
Primary practice address
142 S Raven Mine Dr Ste 250
Colorado Springs CO 80905-4406
Phone: (719) 579-6890
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 30528 | Colorado |
Profile Details
| NPI number | 1013128339 |
|---|---|
| LBN Legal business name | Jenks, Selisa Smitson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2007 |
| Last updated | Jan 25th, 2024 - about 8 months 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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