Tubbs, Jack W

Tubbs, Jack W is an sole proprietor health care provider with primary practice located at 8580 Scarborough Dr Suite 100, Colorado Springs CO 80920-7583. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Legal Medicine. Other Service Providers / Specialist is his primary health care specialty. Tubbs, Jack W can be contacted via phone (719) 596-3344.

Contact Information

Primary practice address
8580 Scarborough Dr Suite 100 Colorado Springs CO 80920-7583
Phone: (719) 596-3344
Fax: (719) 632-6118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 28714 Colorado
Other Service Providers / Specialist 174400000X 17891 Oklahoma
Other Service Providers / Legal Medicine 173000000X

Profile Details

NPI number 1669471538
LBN Legal business name Tubbs, Jack W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Oct 10th, 2016 - about 9 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 1669471538 NPPES
Colorado MEDICAID 01287143

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