Colville, Amber D
Colville, Amber D is an sole proprietor health care provider with primary practice located at 1135 Ocean Springs Rd , Ocean Springs MS 39564-3421. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Colville, Amber D can be contacted via phone (228) 875-6695.Contact Information
Primary practice address
1135 Ocean Springs Rd
Ocean Springs MS 39564-3421
Phone: (228) 875-6695
Fax: (228) 875-6696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 18422 | Mississippi |
Profile Details
| NPI number | 1457462020 |
|---|---|
| LBN Legal business name | Colville, Amber D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Aug 26th, 2016 - about 9 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 | 1457462020 | NPPES |
| Mississippi | Other | P00144953 | MEDICARE RR |
| Mississippi | Other | 11397919 | MEDICARE RR |
| Mississippi | Other | 7288627 | MEDICARE RR |
| Mississippi | MEDICAID | 02107231 | MEDICARE RR |
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