Packard, Brooke T

Packard, Brooke T is an individual health care provider with primary practice located at 4231 W 16Th Ave , Denver CO 80204-1335. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Packard, Brooke T can be contacted via phone (303) 629-3721.

Contact Information

Primary practice address
4231 W 16Th Ave Denver CO 80204-1335
Phone: (303) 629-3721
Fax: (303) 629-2192
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0002000 Colorado
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2000 Colorado

Profile Details

NPI number 1770557993
LBN Legal business name Packard, Brooke T
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jan 31st, 2025 - about last year

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 1770557993 NPPES
Colorado MEDICAID 51026023

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