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
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518965870 | NPPES |
| Other | P00039917 | RAILROAD MEDICARE | |
| Other | COAAA1301 | RAILROAD MEDICARE | |
| MEDICAID | 01162130 | RAILROAD MEDICARE |
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