Brickl, Ian D

Brickl, Ian D is an individual health care provider with primary practice located at 1683 Main St , Windsor CO 80550-7921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brickl, Ian D can be contacted via phone (970) 686-0124.

Contact Information

Primary practice address
1683 Main St Windsor CO 80550-7921
Phone: (970) 686-0124
Fax: (970) 686-0845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41115 Colorado

Profile Details

NPI number 1396721080
LBN Legal business name Brickl, Ian D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 22nd, 2019 - about 5 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 1396721080 NPPES
Colorado MEDICAID 40288030

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