Colbert, Phillip M

Colbert, Phillip M is an individual health care provider with primary practice located at 77 Casa St Suite 108, San Luis Obispo CA 93405-5803. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Colbert, Phillip M can be contacted via phone (805) 541-6080.

Contact Information

Primary practice address
77 Casa St Suite 108 San Luis Obispo CA 93405-5803
Phone: (805) 541-6080
Fax: (805) 541-0637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C35295 California

Profile Details

NPI number 1245211952
LBN Legal business name Colbert, Phillip M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Sep 26th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245211952 NPPES
California MEDICAID 00C352950

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