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 3 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | ||
| Other Service Providers / Specialist | 174400000X | 17891 | Oklahoma |
| Other Service Providers / Specialist | 174400000X | 28714 | Colorado |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 28714 | Colorado |
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 | Jun 2nd, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669471538 | NPPES |
| Colorado | MEDICAID | 01287143 |
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