Colledge, Alan L

Colledge, Alan L is an individual health care provider with primary practice located at 1055 N 500 W Suite 121, Provo UT 84604-3305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Colledge, Alan L can be contacted via phone (801) 373-7350.

Contact Information

Primary practice address
1055 N 500 W Suite 121 Provo UT 84604-3305
Phone: (801) 373-7350
Fax: (801) 812-5401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 178606-1205 Utah
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 178606-1205 Utah

Profile Details

NPI number 1629169370
LBN Legal business name Colledge, Alan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Nov 27th, 2023 - about 2 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 1629169370 NPPES
Utah Other 020188719 PALMETTO
Utah Other 20025 PALMETTO
Utah Other QM000056643 PALMETTO
Utah Other 107006523102 PALMETTO
Utah Other 2300056 PALMETTO
Utah Other 68082 PALMETTO
Utah Other 870281028COL PALMETTO

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