Colon, Nathan

Colon, Nathan is an individual health care provider with primary practice located at 4921 Parkview Pl Div Surg Urology, Ste 11C, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Colon, Nathan can be contacted via phone (314) 362-8200.

Contact Information

Primary practice address
4921 Parkview Pl Div Surg Urology, Ste 11C Saint Louis MO 63110-1032
Phone: (314) 362-8200
Fax: (314) 454-5244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 2023019454 Missouri

Profile Details

NPI number 1275067142
LBN Legal business name Colon, Nathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2017
Last updated Apr 25th, 2024 - about 7 months 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 1275067142 NPPES
Missouri MEDICAID 200124635

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