National Provider Identifier Database

JACK FORD MD PC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

JACK FORD MD PC
3505 AUSTIN BLUFFS PKWY STE 306
COLORADO SPRINGS, CO80918-5755
Phone: 719-475-1810
Fax: 719-475-1812
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for JACK FORD MD PC

NPI Number 1194135657
Legal business name
LBN
JACK FORD MD PC
Authorized official COURTNEY CRANCE - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 05/05/2014
Last updated 07/02/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: DR00016135
  • CO License #: DR00053716

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.

Reviews for JACK FORD MD PC

There are currently no reviews for JACK FORD MD PC


NPIdb - Home
v2.201