Holmgren, Brian D
Holmgren, Brian D is an individual health care provider with primary practice located at 11600 W 2Nd Pl , Lakewood CO 80228-1527. 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. Holmgren, Brian D can be contacted via phone (720) 321-4161.Contact Information
Primary practice address
11600 W 2Nd Pl
Lakewood CO 80228-1527
Phone: (720) 321-4161
Fax: (720) 321-4165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3547 | Colorado |
Profile Details
| NPI number | 1659622256 |
|---|---|
| LBN Legal business name | Holmgren, Brian D |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2012 |
| Last updated | Aug 15th, 2013 - about 13 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 | 1659622256 | NPPES |
| Colorado | MEDICAID | 01884859 |
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