Colt, Dylan

Colt, Dylan is an sole proprietor health care provider with primary practice located at 1827 Atlanta Ave , Riverside CA 92507-7419. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Colt, Dylan can be contacted via phone (951) 955-8000.

Contact Information

Primary practice address
1827 Atlanta Ave Riverside CA 92507-7419
Phone: (951) 955-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1871991588
LBN Legal business name Colt, Dylan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2014
Last updated Dec 11th, 2014 - 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.

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