Brandon, Lorin S

Brandon, Lorin S is an sole proprietor health care provider with primary practice located at 1213 Gusdorf Rd , Taos NM 87571-6361. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Brandon, Lorin S can be contacted via phone (970) 542-0221.

Contact Information

Primary practice address
1213 Gusdorf Rd Taos NM 87571-6361
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 506 Colorado

Profile Details

NPI number 1710016241
LBN Legal business name Brandon, Lorin S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Feb 16th, 2023 - about last year

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 1710016241 NPPES
Colorado MEDICAID 01005065

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