National Provider Identifier Database

JACK FORD, MD – NPI #1558363234
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

JACK FORD, MD
3505 AUSTIN BLUFFS PKWY STE 306
COLORADO SPRINGS, CO80918-5755
Phone: 719-475-1810
Fax: 719-475-1812
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for JACK FORD

NPI Number 1558363234
Credentials MD
Entity Individual
Enumeration date 08/12/2005
Last updated 02/17/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • CO License #: DR0016135
  • CO Medicaid: 01161355
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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