Duffy, Brian J
Duffy, Brian J is an individual health care provider with primary practice located at 1725 E Boulder St Ste 101 , Colorado Springs CO 80909-5740. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Duffy, Brian J can be contacted via phone (719) 365-6300.Contact Information
Primary practice address
1725 E Boulder St Ste 101
Colorado Springs CO 80909-5740
Phone: (719) 365-6300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 50001411 | Ohio |
Profile Details
| NPI number | 1053318378 |
|---|---|
| LBN Legal business name | Duffy, Brian J |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Dec 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053318378 | NPPES |
| Ohio | MEDICAID | 0070728 |
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