Colench, Jeffrey

Colench, Jeffrey is an sole proprietor health care provider with primary practice located at 1000 W 10Th St , Rolla MO 65401-2905. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Colench, Jeffrey can be contacted via phone (573) 458-8899.

Contact Information

Primary practice address
1000 W 10Th St Rolla MO 65401-2905
Phone: (573) 458-8899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 121078 Missouri

Profile Details

NPI number 1568432490
LBN Legal business name Colench, Jeffrey
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated Nov 2nd, 2021 - about 4 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 1568432490 NPPES
Missouri MEDICAID 915685408

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