Davis, Brian W

Davis, Brian W is an individual health care provider with primary practice located at 360 Peak One Drive Ste 180, Frisco CO 80443. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Davis, Brian W can be contacted via phone (970) 668-3633.

Contact Information

Primary practice address
360 Peak One Drive Ste 180 Frisco CO 80443
Phone: (970) 668-3633
Fax: (970) 668-4406
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 841 Colorado

Profile Details

NPI number 1760488571
LBN Legal business name Davis, Brian W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Mar 25th, 2014 - about 12 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 1760488571 NPPES
Colorado Other 680501385006 RMHP ID
Colorado Other DA252309 RMHP ID

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