Collison, John G

Collison, John G is an sole proprietor health care provider with primary practice located at 210 W Main St , Marshalltown IA 50158-5846. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Collison, John G can be contacted via phone (641) 753-7000.

Contact Information

Primary practice address
210 W Main St Marshalltown IA 50158-5846
Fax: (641) 753-7232
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6536 Iowa

Profile Details

NPI number 1851430391
LBN Legal business name Collison, John G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 17 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 1851430391 NPPES
Iowa MEDICAID 0004044

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