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Contact Information

CHARLES O BRANTIGAN
12605 E 16TH AVE
AURORA, CO80045-2545
 Phone: 720-848-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for CHARLES O BRANTIGAN · (Male)

NPI # 1518965870
Status Active
Credentials
Entity Individual
Enumeration date 07/11/2005
Last updated 05/28/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 16213
  • CO Medicaid 01162130
  • Other P00039917 RAILROAD MEDICARE
  • CO Other COAAA1301 MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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