Braucht, Jared

Braucht, Jared is an individual health care provider with primary practice located at 2407 Laporte Ave , Fort Collins CO 80521-2211. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Braucht, Jared can be contacted via phone (970) 488-4222.

Contact Information

Primary practice address
2407 Laporte Ave Fort Collins CO 80521-2211
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP.0003396 Colorado

Profile Details

NPI number 1730723552
LBN Legal business name Braucht, Jared
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2019
Last updated Jan 25th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730723552 NPPES
Colorado MEDICAID 9000142570

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