BUCK JACK LLC
NPI 1225642341
Psychologist in Colorado Springs, CO
About Buck Jack Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BUCK JACK LLC (NPI 1225642341), doing business as The Shandy Clinic, is a healthcare organization registered as a psychologist in Colorado Springs, Colorado and active in the NPI registry since September 2020. The organization lists William Colt, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLORADO SPRINGS, CO 80920
COLORADO SPRINGS, CO 80920
COLORADO SPRINGS, CO 80920
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Buck Jack LLC's NPI number?
The NPI number for Buck Jack LLC is 1225642341. It was assigned to this organization in the NPPES registry on September 4, 2020. The provider is doing business as The Shandy Clinic.
Where is Buck Jack LLC located?
Buck Jack LLC is located at 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920. The listed phone number is (719) 822-0900.
What is Buck Jack LLC's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
When was this NPI record last updated?
The NPPES record for Buck Jack LLC was last updated on September 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.