Uttley, Brandon M

Uttley, Brandon M is an individual health care provider with primary practice located at 1950 Mountain View Ave , Longmont CO 80501-3129. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Uttley, Brandon M can be contacted via phone (303) 306-7783.

Contact Information

Primary practice address
1950 Mountain View Ave Longmont CO 80501-3129
Phone: (303) 306-7783
Fax: (303) 306-7753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2831 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2831 Colorado

Profile Details

NPI number 1922339431
LBN Legal business name Uttley, Brandon M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2010
Last updated Feb 26th, 2014 - about 10 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 1922339431 NPPES
Colorado MEDICAID 71681531
Colorado Other P00842822

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