Colombo, Charles George

Colombo, Charles George is an individual health care provider with primary practice located at 1701 South Blvd E Ste 180, Rochester Hills MI 48307-6115. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Colombo, Charles George can be contacted via phone (248) 293-5161.

Contact Information

Primary practice address
1701 South Blvd E Ste 180 Rochester Hills MI 48307-6115
Phone: (248) 293-5161
Fax: (248) 293-5162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X CC033296 Michigan

Profile Details

NPI number 1588660807
LBN Legal business name Colombo, Charles George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Dec 22nd, 2015 - about 9 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 1588660807 NPPES
Michigan MEDICAID 2092585

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