Wise, Brian Keith

Wise, Brian Keith is an individual health care provider with primary practice located at 1400 Jackson St , Denver CO 80206-2761. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Wise, Brian Keith can be contacted via phone (303) 388-4461.

Contact Information

Primary practice address
1400 Jackson St Denver CO 80206-2761
Phone: (303) 388-4461
Fax: (303) 398-1211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 41287 Colorado
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 41287 Colorado

Profile Details

NPI number 1043211683
LBN Legal business name Wise, Brian Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Mar 17th, 2021 - about 4 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 1043211683 NPPES
Colorado Other 1043211683 NPI NUMBER
Colorado MEDICAID 70583072 NPI NUMBER
Colorado Other C802299 NPI NUMBER
Colorado Other C811544 NPI NUMBER

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