Clark, Brendan J

Clark, Brendan J is an individual health care provider with primary practice located at 274 Union Blvd Ste 110 , Lakewood CO 80228. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Clark, Brendan J can be contacted via phone (303) 951-0600.

Contact Information

Primary practice address
274 Union Blvd Ste 110 Lakewood CO 80228
Phone: (303) 951-0600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 46478 Colorado
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 46478 Colorado

Profile Details

NPI number 1265419659
LBN Legal business name Clark, Brendan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jun 22nd, 2018 - about 6 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 1265419659 NPPES
Colorado MEDICAID 77226267

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