Brockway, Julie M.
Brockway, Julie M. is an individual health care provider with primary practice located at 1200 E Elizabeth St , Fort Collins CO 80524-4007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brockway, Julie M. can be contacted via phone (970) 416-6286.Contact Information
Primary practice address
1200 E Elizabeth St
Fort Collins CO 80524-4007
Phone: (970) 416-6286
Fax: (970) 482-2635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 33683 | Colorado |
Profile Details
| NPI number | 1013988575 |
|---|---|
| LBN Legal business name | Brockway, Julie M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Dec 7th, 2007 - about 17 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 | 1013988575 | NPPES |
| Colorado | MEDICAID | 1336833 |
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