Tietsort, Brooke A
Tietsort, Brooke A is an individual health care provider with primary practice located at 4231 W 16Th Ave , Denver CO 80204-1335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Tietsort, Brooke A can be contacted via phone (303) 629-3721.Contact Information
Primary practice address
4231 W 16Th Ave
Denver CO 80204-1335
Phone: (303) 629-3721
Fax: (303) 629-2192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2000 | Colorado |
Profile Details
| NPI number | 1770557993 |
|---|---|
| LBN Legal business name | Tietsort, Brooke A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1770557993 | NPPES |
| Colorado | MEDICAID | 51026023 |
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