Petersen, Brian Woodford

Petersen, Brian Woodford is an individual health care provider with primary practice located at 1375 E 20Th Ave , Denver CO 80205-5422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Petersen, Brian Woodford can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
1375 E 20Th Ave Denver CO 80205-5422
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X LP02769 Rhode Island
Allopathic & Osteopathic Physicians / Dermatology 207N00000X DR.0058571 Colorado

Profile Details

NPI number 1093070179
LBN Legal business name Petersen, Brian Woodford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2012
Last updated Sep 6th, 2022 - about 4 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 1093070179 NPPES
Colorado Other 028287 KAISER COMMERCIAL NUMBER

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