Colletti, Michael Phillip

Colletti, Michael Phillip is an sole proprietor health care provider with primary practice located at 4580 S Eastern Ave #29, Las Vegas NV 89119-6100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Colletti, Michael Phillip can be contacted via phone (702) 734-2242.

Contact Information

Primary practice address
4580 S Eastern Ave #29 Las Vegas NV 89119-6100
Phone: (702) 734-2242
Fax: (702) 737-7690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 5563 Nevada

Profile Details

NPI number 1306033931
LBN Legal business name Colletti, Michael Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2007
Last updated Jul 17th, 2013 - about 12 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 1306033931 NPPES
Nevada Other 660002079 MEDICARE RAILROAD

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