Brazelton, Michael Joseph

Brazelton, Michael Joseph is an sole proprietor health care provider with primary practice located at 6179 S Balsam Way Suite 205, Littleton CO 80123-3091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brazelton, Michael Joseph can be contacted via phone (303) 972-2000.

Contact Information

Primary practice address
6179 S Balsam Way Suite 205 Littleton CO 80123-3091
Phone: (303) 972-2000
Fax: (720) 245-2690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31178 Colorado

Profile Details

NPI number 1750421087
LBN Legal business name Brazelton, Michael Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jul 31st, 2012 - about 13 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 1750421087 NPPES
Colorado MEDICAID 01311786

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