Baratta, Mark

Baratta, Mark is an individual health care provider with primary practice located at 3455 Lutheran Pkwy Suite 280, Wheat Ridge CO 80033-6028. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Baratta, Mark can be contacted via phone (303) 403-7300.

Contact Information

Primary practice address
3455 Lutheran Pkwy Suite 280 Wheat Ridge CO 80033-6028
Phone: (303) 403-7300
Fax: (303) 403-7310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0064591
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107209 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-3186 Colorado

Profile Details

NPI number 1174742944
LBN Legal business name Baratta, Mark
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated May 20th, 2019 - about 6 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 1174742944 NPPES
Colorado MEDICAID 25258231

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