Baack, Brad Robin

Baack, Brad Robin is an individual health care provider with primary practice located at 4795 Larimer Pkwy Ste 150 , Johnstown CO 80534-9021. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Baack, Brad Robin can be contacted via phone (970) 342-2222.

Contact Information

Primary practice address
4795 Larimer Pkwy Ste 150 Johnstown CO 80534-9021
Phone: (970) 342-2222
Fax: (970) 342-2233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X DR.0039315 Colorado
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 39315 Colorado
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 39315 Colorado
Allopathic & Osteopathic Physicians / Dermatology 207N00000X DR.0039315 Colorado

Profile Details

NPI number 1104856061
LBN Legal business name Baack, Brad Robin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jul 18th, 2024 - about 4 months 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 1104856061 NPPES
Colorado MEDICAID 17283779

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