Baldwin, Bradley Alan

Baldwin, Bradley Alan is an individual health care provider with primary practice located at 2373 G Rd Ste 280 Surgical Associates, Grand Junction CO 81505-1006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Baldwin, Bradley Alan can be contacted via phone (970) 243-9340.

Contact Information

Primary practice address
2373 G Rd Ste 280 Surgical Associates Grand Junction CO 81505-1006
Phone: (970) 243-9340
Fax: (970) 241-6894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 32142 Colorado

Profile Details

NPI number 1154361046
LBN Legal business name Baldwin, Bradley Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Apr 24th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154361046 NPPES
Colorado MEDICAID 01321421
Colorado Other 29852

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