Prusmack, Chad J

Prusmack, Chad J is an individual health care provider with primary practice located at 10103 Ridgegate Pkwy Suite 306, Lone Tree CO 80124-5520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Prusmack, Chad J can be contacted via phone (303) 225-8120.

Contact Information

Primary practice address
10103 Ridgegate Pkwy Suite 306 Lone Tree CO 80124-5520
Phone: (303) 225-8120
Fax: (303) 225-8130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X Colorado

Profile Details

NPI number 1396844346
LBN Legal business name Prusmack, Chad J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jan 7th, 2008 - about 16 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 1396844346 NPPES
Colorado MEDICAID 61127230

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