| Springbok Health Inc | |
|
267 S Joe Martinez Blvd Pueblo West CO 81007-2741 | |
| (719) 766-8511 | |
| (719) 208-7731 |
| Full Name | Springbok Health Inc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 267 S Joe Martinez Blvd, Pueblo West, Colorado |
| Authorized Official Name and Position | Mark Jankelow (OWNER) |
| Authorized Official Contact | 7192516877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springbok Health Inc 1318 W Colorado Ave Colorado Springs CO 80904-4023 Ph: (719) 766-8511 | Springbok Health Inc 267 S Joe Martinez Blvd Pueblo West CO 81007-2741 Ph: (719) 766-8511 |
| NPI Number | 1952781601 |
|---|---|
| Provider Enumeration Date | 06/08/2015 |
| Last Update Date | 10/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952781601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | APN.0990467-NP (Colorado) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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