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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 Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JACK FORD · (Male)

NPI Number 1558363234
Status Active
Credentials MD
Entity Individual
Enumeration date 08/12/2005
Last updated 02/17/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # DR0016135
  • CO Medicaid 01161355
Hospital affiliation(s) Not Available
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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