Colabella, Domenic
Colabella, Domenic is an sole proprietor health care provider with primary practice located at 922 E Colorado St , Glendale CA 91205-1224. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Colabella, Domenic can be contacted via phone (818) 246-5999.Contact Information
Primary practice address
922 E Colorado St
Glendale CA 91205-1224
Phone: (818) 246-5999
Fax: (818) 240-5757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT-8443T | California |
Profile Details
| NPI number | 1477696490 |
|---|---|
| LBN Legal business name | Colabella, Domenic |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Dec 9th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477696490 | NPPES |
| California | Other | OPT-08443T | OPTOMETRY LIC NO |
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