Colgan Jr., John Anthony

Colgan Jr., John Anthony is an sole proprietor health care provider with primary practice located at 2850 Lone Oak Rd Ste 1 , Paducah KY 42003-8043. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Colgan Jr., John Anthony can be contacted via phone (270) 554-5437.

Contact Information

Primary practice address
2850 Lone Oak Rd Ste 1 Paducah KY 42003-8043
Phone: (270) 554-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 9215 Kentucky

Profile Details

NPI number 1073868998
LBN Legal business name Colgan Jr., John Anthony
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2012
Last updated Feb 3rd, 2016 - about 9 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 1073868998 NPPES
Kentucky MEDICAID 7100218260

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