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Contact Information

BRICE D GLASSCOCK, CAS, NCAC I
390 YAMPA AVE
CRAIG, CO81625-2600
 Phone: 970-824-5433
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for BRICE D GLASSCOCK · (Male)

NPI # 1164030763
Status Active
Credentials CAS, NCAC I
Entity Individual
Enumeration date 07/20/2020
Last updated 01/11/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 007371
  • CO License # ACA.0007946
  • CO License # ACC.0021111
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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