Carrillo, Alfred Brian

Carrillo, Alfred Brian is an individual health care provider with primary practice located at 9421 Gunbarrel Ridge Rd , Boulder CO 80301-5504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carrillo, Alfred Brian can be contacted via phone (303) 588-5608.

Contact Information

Primary practice address
9421 Gunbarrel Ridge Rd Boulder CO 80301-5504
Phone: (303) 588-5608
Fax: (303) 665-2119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26810 Colorado

Profile Details

NPI number 1518923895
LBN Legal business name Carrillo, Alfred Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 8th, 2007 - about 19 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 1518923895 NPPES
Colorado MEDICAID 01268101

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