Kingston, Brian J

Kingston, Brian J is an individual health care provider with primary practice located at 2429 35Th Ave , Greeley CO 80634-4171. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kingston, Brian J can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
2429 35Th Ave Greeley CO 80634-4171
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52296 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 50704 Colorado

Profile Details

NPI number 1356345391
LBN Legal business name Kingston, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated May 20th, 2021 - about 3 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 1356345391 NPPES
Texas Other 0085HB BCBS ID#
Texas Other 024616 BCBS ID#
Texas MEDICAID 130895907 BCBS ID#
Texas Other 080179674 BCBS ID#
Texas MEDICAID 42938368 BCBS ID#

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