Colon, Jennifer
Colon, Jennifer is an sole proprietor health care provider with primary practice located at 100 Northbrooke Trce , Woodstock GA 30188-2192. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Colon, Jennifer can be contacted via phone (678) 206-6838.Contact Information
Primary practice address
100 Northbrooke Trce
Woodstock GA 30188-2192
Phone: (678) 206-6838
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT003663 | Georgia |
Profile Details
| NPI number | 1659433159 |
|---|---|
| LBN Legal business name | Colon, Jennifer |
| Credentials | MS, OTRL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Feb 22nd, 2013 - about 11 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 | 1659433159 | NPPES |
| Georgia | MEDICAID | 695050454A |
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