1508055906 NPI number — CLARK L. JENNINGS, M.D., INC

Table of content: (NPI 1508055906)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508055906 NPI number — CLARK L. JENNINGS, M.D., INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CLARK L. JENNINGS, M.D., INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508055906
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/22/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1414 N NEVADA AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLORADO SPRINGS
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80907-7431
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
719-475-8038
Provider Business Mailing Address Fax Number:
719-475-0993

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1414 N NEVADA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLORADO SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80907-7431
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-475-8038
Provider Business Practice Location Address Fax Number:
719-475-0993
Provider Enumeration Date:
10/22/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
JENNINGS
Authorized Official First Name:
CLARK
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
719-475-8038

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  30385 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)