Colson, Loren T
Colson, Loren T is an individual health care provider with primary practice located at 6565 W Emerald St , Boise ID 83704-8737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Colson, Loren T can be contacted via phone (208) 514-2510.Contact Information
Primary practice address
6565 W Emerald St
Boise ID 83704-8737
Phone: (208) 514-2510
Fax: (208) 375-2217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MRO-1471 | Idaho |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | O-1003 | Idaho |
Profile Details
| NPI number | 1629457155 |
|---|---|
| LBN Legal business name | Colson, Loren T |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2015 |
| Last updated | Dec 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629457155 | NPPES |
| Idaho | MEDICAID | 1629457155 |
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