Prosser, Brent James

Prosser, Brent James is an individual health care provider with primary practice located at 1035 Wellington Ave , Grand Junction CO 81501-8122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Prosser, Brent James can be contacted via phone (970) 242-6600.

Contact Information

Primary practice address
1035 Wellington Ave Grand Junction CO 81501-8122
Phone: (970) 242-6600
Fax: (970) 241-8443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 45350 Colorado

Profile Details

NPI number 1063579555
LBN Legal business name Prosser, Brent James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Dec 30th, 2014 - about 12 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 1063579555 NPPES
Colorado Other P00403557 RRPTAN
Colorado MEDICAID 35129549 RRPTAN

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