Colson, Jimmy Glen
Colson, Jimmy Glen is an sole proprietor health care provider with primary practice located at 500 S Rancho Dr #8B, Las Vegas NV 89106-4844. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Colson, Jimmy Glen can be contacted via phone (702) 293-5502.Contact Information
Primary practice address
500 S Rancho Dr #8B
Las Vegas NV 89106-4844
Phone: (702) 293-5502
Fax: (702) 242-5572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | H13-00347-2-143805 | Nevada |
Profile Details
| NPI number | 1518109909 |
|---|---|
| LBN Legal business name | Colson, Jimmy Glen |
| Credentials | Certified Orthotist (CO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2009 |
| Last updated | Mar 31st, 2009 - about 16 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 | 1518109909 | NPPES |
| Nevada | MEDICAID | 100509314 |
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