Colinco, Shelton Jim
Colinco, Shelton Jim is an individual health care provider with primary practice located at 1801 W Romneya Dr 203, Anaheim CA 92801-1830. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Colinco, Shelton Jim can be contacted via phone (714) 999-1465.Contact Information
Primary practice address
1801 W Romneya Dr 203
Anaheim CA 92801-1830
Phone: (714) 999-1465
Fax: (714) 999-1701
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA14866 | California |
Profile Details
NPI number | 1033240015 |
---|---|
LBN Legal business name | Colinco, Shelton Jim |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2007 |
Last updated | Jun 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033240015 | NPPES |
California | Other | PA14866 | PA LICENSE |
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