Collette, Dean R.
Collette, Dean R. is an individual health care provider with primary practice located at 800 E Carpenter St Department Of Radiology, Springfield IL 62702-5324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Collette, Dean R. can be contacted via phone (217) 544-6464.Contact Information
Primary practice address
800 E Carpenter St Department Of Radiology
Springfield IL 62702-5324
Phone: (217) 544-6464
Fax: (217) 525-5671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 036106391 | Illinois |
Profile Details
| NPI number | 1437262540 |
|---|---|
| LBN Legal business name | Collette, Dean R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Nov 29th, 2023 - about last year |
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 | 1437262540 | NPPES |
| Illinois | Other | 300131923 | RR MEDICARE |
| Illinois | MEDICAID | 36106391 | RR MEDICARE |
| Illinois | Other | 300131924 | RR MEDICARE |
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