Colombo, Paula C

Colombo, Paula C is an individual health care provider with primary practice located at 105 Hall St Suite A, Traverse City MI 49684-2288. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Colombo, Paula C can be contacted via phone (231) 922-4850.

Contact Information

Primary practice address
105 Hall St Suite A Traverse City MI 49684-2288
Phone: (231) 922-4850
Fax: (231) 935-3856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301073659 Michigan

Profile Details

NPI number 1043389273
LBN Legal business name Colombo, Paula C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 10th, 2007 - about 18 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 1043389273 NPPES
Michigan MEDICAID 10-4540093
Michigan Other PC073659

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