Bracken, Grant
Bracken, Grant is an sole proprietor health care provider with primary practice located at 340 Exempla Cir Ste 300 , Lafayette CO 80026-3384. 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. Bracken, Grant can be contacted via phone (303) 673-1390.Contact Information
Primary practice address
340 Exempla Cir Ste 300
Lafayette CO 80026-3384
Phone: (303) 673-1390
Fax: (720) 627-6407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.0006486 | Colorado |
Profile Details
| NPI number | 1164042727 |
|---|---|
| LBN Legal business name | Bracken, Grant |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2020 |
| Last updated | Apr 20th, 2023 - about 3 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.
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