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Contact Information

PAUL T BRUSASCHETTI, PA
1024 S LEMAY AVE
FORT COLLINS, CO80524
 Phone: 970-495-7000
 Fax: 303-306-7753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PAUL T BRUSASCHETTI · (Male)

NPI # 1932137411
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/30/2006
Last updated 07/24/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA18072
  • CO License # PA.0005783
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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