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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053318378 NPPES
Ohio MEDICAID 0070728

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