Alt, Brooke

Alt, Brooke is an individual health care provider with primary practice located at 1100 Balsam Ave , Boulder CO 80304-3404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Alt, Brooke can be contacted via phone (303) 440-2273.

Contact Information

Primary practice address
1100 Balsam Ave Boulder CO 80304-3404
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 22657 Colorado

Profile Details

NPI number 1326008871
LBN Legal business name Alt, Brooke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Nov 28th, 2007 - about 17 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 1326008871 NPPES
Colorado MEDICAID 21686734

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