Colon, Pastor

Colon, Pastor is an individual health care provider with primary practice located at 2960 Winnetka Ave N Suite 208, Crystal MN 55427-2853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Colon, Pastor can be contacted via phone (763) 512-1090.

Contact Information

Primary practice address
2960 Winnetka Ave N Suite 208 Crystal MN 55427-2853
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 22830 Minnesota

Profile Details

NPI number 1811987878
LBN Legal business name Colon, Pastor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Mar 7th, 2023 - about 2 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 1811987878 NPPES
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