Brantigan, Charles O

Brantigan, Charles O is an individual health care provider with primary practice located at 12605 E 16Th Ave , Aurora CO 80045-2545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Brantigan, Charles O can be contacted via phone (720) 848-0000.

Contact Information

Primary practice address
12605 E 16Th Ave Aurora CO 80045-2545
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 16213 Colorado

Profile Details

NPI number 1518965870
LBN Legal business name Brantigan, Charles O
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated May 28th, 2013 - about 11 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 1518965870 NPPES
Other P00039917 RAILROAD MEDICARE
Other COAAA1301 RAILROAD MEDICARE
MEDICAID 01162130 RAILROAD MEDICARE

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