Collet, John B
Collet, John B is an sole proprietor health care provider with primary practice located at 1643 E Main St , Ventura CA 93001-3307. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Collet, John B can be contacted via phone (805) 648-4105.Contact Information
Primary practice address
1643 E Main St
Ventura CA 93001-3307
Phone: (805) 648-4105
Fax: (805) 648-5177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E2675 | California |
Profile Details
| NPI number | 1700857083 |
|---|---|
| LBN Legal business name | Collet, John B |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Dec 9th, 2011 - about 14 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 | 1700857083 | NPPES |
| California | MEDICAID | 000E26750 |
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