Uttley, Brandon M
Uttley, Brandon M is an individual health care provider with primary practice located at 1950 Mountain View Ave , Longmont CO 80501-3129. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Uttley, Brandon M can be contacted via phone (303) 306-7783.Contact Information
Primary practice address
1950 Mountain View Ave
Longmont CO 80501-3129
Phone: (303) 306-7783
Fax: (303) 306-7753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2831 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2831 | Colorado |
Profile Details
| NPI number | 1922339431 |
|---|---|
| LBN Legal business name | Uttley, Brandon M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2010 |
| Last updated | Feb 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922339431 | NPPES |
| Colorado | MEDICAID | 71681531 | |
| Colorado | Other | P00842822 |
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