Hayworth, Brandy Ray

Hayworth, Brandy Ray is an individual health care provider with primary practice located at 200 Colorado Ave Apt 2105 , Parachute CO 81635-9615. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Hayworth, Brandy Ray can be contacted via phone (970) 440-0283.

Contact Information

Primary practice address
200 Colorado Ave Apt 2105 Parachute CO 81635-9615
Phone: (970) 440-0283
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X Colorado

Profile Details

NPI number 1255938114
LBN Legal business name Hayworth, Brandy Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2020
Last updated Oct 5th, 2020 - 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 1255938114 NPPES
Colorado MEDICAID 85-3300149

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