Thompson, Breanna Summers
Thompson, Breanna Summers is an individual health care provider with primary practice located at 1635 Blue Spruce Dr , Fort Collins CO 80524-5427. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Thompson, Breanna Summers can be contacted via phone (970) 494-4040.Contact Information
Primary practice address
1635 Blue Spruce Dr
Fort Collins CO 80524-5427
Phone: (970) 494-4040
Fax: (970) 494-4076
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | DR.0049522 | Colorado |
Profile Details
| NPI number | 1710129473 |
|---|---|
| LBN Legal business name | Thompson, Breanna Summers |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2009 |
| Last updated | Apr 17th, 2017 - about 9 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 | 1710129473 | NPPES |
| Colorado | MEDICAID | 71333240 |
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