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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104856061 | NPPES |
| Colorado | MEDICAID | 17283779 |
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