Colvin, David

Colvin, David is an sole proprietor health care provider with primary practice located at 1900 Exeter Rd Suite 210, Germantown TN 38138-2954. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Colvin, David can be contacted via phone (901) 818-2160.

Contact Information

Primary practice address
1900 Exeter Rd Suite 210 Germantown TN 38138-2954
Phone: (901) 818-2160
Fax: (901) 682-9522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN 061215 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN 9090 Tennessee

Profile Details

NPI number 1437101805
LBN Legal business name Colvin, David
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Jun 9th, 2011 - about 13 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 1437101805 NPPES
Mississippi MEDICAID 0126294
Mississippi MEDICAID 3604746
Mississippi Other 430074156
Mississippi Other 4010896
Mississippi Other 98907

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