Colon, Eric Isaias
Colon, Eric Isaias is an sole proprietor health care provider with primary practice located at 636 Broadway St Ne , Minneapolis MN 55413-2151. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Colon, Eric Isaias can be contacted via phone (507) 380-8440.Contact Information
Primary practice address
636 Broadway St Ne
Minneapolis MN 55413-2151
Phone: (507) 380-8440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H11188 | Minnesota |
Profile Details
| NPI number | 1801568407 |
|---|---|
| LBN Legal business name | Colon, Eric Isaias |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2021 |
| Last updated | Oct 1st, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801568407 | NPPES |
| Minnesota | MEDICAID | H11188 |
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