Colwell, Robert Frazier
Colwell, Robert Frazier is an sole proprietor health care provider with primary practice located at 712 Fort Crook Rd N , Bellevue NE 68005-4558. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Colwell, Robert Frazier can be contacted via phone (402) 733-6066.Contact Information
Primary practice address
712 Fort Crook Rd N
Bellevue NE 68005-4558
Phone: (402) 733-6066
Fax: (402) 733-0899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6236 | Nebraska |
| Dental Providers / Dentist | 122300000X | 8073 | Iowa |
Profile Details
| NPI number | 1770674848 |
|---|---|
| LBN Legal business name | Colwell, Robert Frazier |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jan 23rd, 2012 - about 12 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 | 1770674848 | NPPES |
| Nebraska | MEDICAID | 10025204800 | |
| Nebraska | MEDICAID | 15558428003 |
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