Baratta, Mark
Baratta, Mark is an individual health care provider with primary practice located at 3455 Lutheran Pkwy Suite 280, Wheat Ridge CO 80033-6028. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Baratta, Mark can be contacted via phone (303) 403-7300.Contact Information
Primary practice address
3455 Lutheran Pkwy Suite 280
Wheat Ridge CO 80033-6028
Phone: (303) 403-7300
Fax: (303) 403-7310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0064591 | |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9107209 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-3186 | Colorado |
Profile Details
| NPI number | 1174742944 |
|---|---|
| LBN Legal business name | Baratta, Mark |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | May 20th, 2019 - about 7 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 | 1174742944 | NPPES |
| Colorado | MEDICAID | 25258231 |
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