Provider Demographics
NPI:1841809977
Name:HARVEY, BRENTON PATRICK (DIPL ACU/DIPL CH)
Entity type:Individual
Prefix:
First Name:BRENTON
Middle Name:PATRICK
Last Name:HARVEY
Suffix:
Gender:M
Credentials:DIPL ACU/DIPL CH
Other - Prefix:
Other - First Name:BRENT
Other - Middle Name:
Other - Last Name:HARVEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:900 S PENNSYLVANIA ST APT 1
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4188
Mailing Address - Country:US
Mailing Address - Phone:720-696-2788
Mailing Address - Fax:
Practice Address - Street 1:900 S PENNSYLVANIA ST APT 1
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-4188
Practice Address - Country:US
Practice Address - Phone:720-696-2788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO520171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist