Brach, John Phillip
Brach, John Phillip is an individual health care provider with primary practice located at 575 Rivergate Suite 212, Durango CO 81301-7487. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Brach, John Phillip can be contacted via phone (970) 259-2202.Contact Information
Primary practice address
575 Rivergate Suite 212
Durango CO 81301-7487
Phone: (970) 259-2202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 52366 | Colorado |
Profile Details
| NPI number | 1699907469 |
|---|---|
| LBN Legal business name | Brach, John Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2009 |
| Last updated | Feb 16th, 2016 - about 9 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 | 1699907469 | NPPES |
| Colorado | MEDICAID | 93686854 |
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