Jankelow, Mark

Jankelow, Mark is an individual health care provider with primary practice located at 1318 W Colorado Ave , Colorado Springs CO 80904-4023. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Jankelow, Mark can be contacted via phone (719) 766-8511.

Contact Information

Primary practice address
1318 W Colorado Ave Colorado Springs CO 80904-4023
Phone: (719) 766-8511
Fax: (719) 208-7731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X ANP0990467 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN.0990467-NP Colorado

Profile Details

NPI number 1487958070
LBN Legal business name Jankelow, Mark
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2010
Last updated Oct 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487958070 NPPES
Colorado MEDICAID 87108518

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