George, Brenda Marie
George, Brenda Marie is an individual health care provider with primary practice located at 2315 E Harmony Rd Suite 110, Fort Collins CO 80528-8620. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. George, Brenda Marie can be contacted via phone (970) 482-4373.Contact Information
Primary practice address
2315 E Harmony Rd Suite 110
Fort Collins CO 80528-8620
Phone: (970) 482-4373
Fax: (970) 484-5682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | DR.0054058 | Colorado |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | TL2801 | Wyoming |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 9956A | Wyoming |
Profile Details
| NPI number | 1972829737 |
|---|---|
| LBN Legal business name | George, Brenda Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2010 |
| Last updated | Apr 13th, 2017 - about 7 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 | 1972829737 | NPPES |
| Colorado | MEDICAID | 65750110 | |
| Colorado | MEDICAID | 1972829737 |
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