Odland, Brant A

Odland, Brant A is an individual health care provider with primary practice located at 2955 S Broadway , Englewood CO 80113-1526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Odland, Brant A can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
2955 S Broadway Englewood CO 80113-1526
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A 10493 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45633 Colorado

Profile Details

NPI number 1497801013
LBN Legal business name Odland, Brant A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jun 10th, 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 1497801013 NPPES
Colorado MEDICAID 10950842
Colorado Other 018625

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