Parkside Ct Group Llc

LBN: Parkside Ct Group Llc
Parkside Ct Group Llc is an health care organization with primary practice located at 215 Parkside Dr , Colorado Springs CO 80910-3135. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Parkside Ct Group Llc can be contacted via phone (719) 477-1033, or through Crepps, J. Thomas via phone (719) 477-1033.

Contact Information

Primary practice address
215 Parkside Dr Colorado Springs CO 80910-3135
Phone: (719) 477-1033
Fax: (719) 477-1037
Website:
Map and Directions
Authorized official contact:
Name: Crepps, J. Thomas Doctor of Medicine (MD)
Phone: (719) 477-1033

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 31124 Colorado

Profile Details

NPI number 1700839248
LBN Legal business name Parkside Ct Group Llc
DBA Doing business as
Authorized official Crepps, J. Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700839248 NPPES
Colorado Other 31124 PHYSICIAN LICENSE

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