Willoughby, Brian J
Willoughby, Brian J is an sole proprietor health care provider with primary practice located at 255 Detroit St , Denver CO 80206-4833. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Willoughby, Brian J can be contacted via phone (303) 320-5700.Contact Information
Primary practice address
255 Detroit St
Denver CO 80206-4833
Phone: (303) 320-5700
Fax: (303) 322-6129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 40115 | Colorado |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | DR.0040115 | Colorado |
Profile Details
| NPI number | 1962425710 |
|---|---|
| LBN Legal business name | Willoughby, Brian J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Apr 29th, 2016 - about 8 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 | 1962425710 | NPPES |
| Colorado | MEDICAID | 60008067 | |
| Colorado | MEDICAID | 28836235 |
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