Colella, Danette T

Colella, Danette T is an individual health care provider with primary practice located at 101 Boulder Point Dr Ste 1 , Plymouth NH 03264-3170. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Colella, Danette T can be contacted via phone (603) 536-4000.

Contact Information

Primary practice address
101 Boulder Point Dr Ste 1 Plymouth NH 03264-3170
Fax: (603) 536-4000
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 159758 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 64573 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19572 New Hampshire

Profile Details

NPI number 1033109095
LBN Legal business name Colella, Danette T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Sep 6th, 2023 - about last year

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 1033109095 NPPES
Wisconsin MEDICAID 100051863
Wisconsin MEDICAID 3191664
Wisconsin Other 710585
Wisconsin Other 7457583
Wisconsin Other 0016422
Wisconsin Other 042297845
Wisconsin Other 42310
Wisconsin Other 042297845
Wisconsin Other 159758
Wisconsin Other B10361201
Wisconsin Other 042297845
Wisconsin Other 042297845
Wisconsin Other 042297845
Wisconsin Other J19947
Wisconsin Other 042297845
Wisconsin Other 042297845
Wisconsin MEDICAID 3118251

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