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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396844346 | NPPES |
| Colorado | MEDICAID | 61127230 |
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