Anderson, Brad Douglas
Anderson, Brad Douglas is an individual health care provider with primary practice located at 90 Health Park Dr Suite 260, Louisville CO 80027-9757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Brad Douglas can be contacted via phone (303) 673-9090.Contact Information
Primary practice address
90 Health Park Dr Suite 260
Louisville CO 80027-9757
Phone: (303) 673-9090
Fax: (303) 673-9195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37641 | Colorado |
Profile Details
| NPI number | 1558362657 |
|---|---|
| LBN Legal business name | Anderson, Brad Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Apr 21st, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558362657 | NPPES |
| Colorado | MEDICAID | 50305255 |
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