Welch, Justin Michael

Welch, Justin Michael is an sole proprietor health care provider with primary practice located at 106 N. French Street Suite 250, Breckenridge CO 80424-4869. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is his primary health care specialty. Welch, Justin Michael can be contacted via phone (970) 485-3421.

Contact Information

Primary practice address
106 N. French Street Suite 250 Breckenridge CO 80424-4869
Phone: (970) 485-3421
Fax: (970) 453-1960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 17635 Massachusetts
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 0010078 Colorado

Profile Details

NPI number 1780690768
LBN Legal business name Welch, Justin Michael
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Feb 26th, 2015 - about 9 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 1780690768 NPPES
Colorado Other 0010078 STATE OF COLORADO LICENSE
Colorado Other 11667806 STATE OF COLORADO LICENSE
Colorado Other 17635 STATE OF COLORADO LICENSE
Colorado Other 11667806 STATE OF COLORADO LICENSE

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