Colvin, Rachel
Colvin, Rachel is an individual health care provider with primary practice located at 30 Hatfield Ln Suite 208, Goshen NY 10924-6766. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Colvin, Rachel can be contacted via phone (845) 294-0994.Contact Information
Primary practice address
30 Hatfield Ln Suite 208
Goshen NY 10924-6766
Phone: (845) 294-0994
Fax: (845) 615-1376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 209161 | New York |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 209161 | New York |
Profile Details
| NPI number | 1174511992 |
|---|---|
| LBN Legal business name | Colvin, Rachel |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Sep 27th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174511992 | NPPES |
| New Jersey | MEDICAID | 48101 | |
| New Jersey | MEDICAID | 02154387 | |
| New Jersey | Other | A400001726 |
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