Colvin, Marvin L
Colvin, Marvin L is an individual health care provider with primary practice located at 753 N Main St Ste. A, Cottonwood AZ 86326-3649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Colvin, Marvin L can be contacted via phone (928) 634-7470.Contact Information
Primary practice address
753 N Main St Ste. A
Cottonwood AZ 86326-3649
Phone: (928) 634-7470
Fax: (928) 639-3280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO2771 | Arizona |
Profile Details
| NPI number | 1336146059 |
|---|---|
| LBN Legal business name | Colvin, Marvin L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Feb 27th, 2008 - 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 | 1336146059 | NPPES |
| Arizona | MEDICAID | 111112 |
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