Debarr, Colleen M

Debarr, Colleen M is an individual health care provider with primary practice located at 5172 Leavitt Rd , Lorain OH 44035. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Debarr, Colleen M can be contacted via phone (440) 282-7420.

Contact Information

Primary practice address
5172 Leavitt Rd Lorain OH 44035
Phone: (440) 282-7420
Fax: (440) 282-9855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000629 Georgia
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36.003563 Ohio

Profile Details

NPI number 1104800515
LBN Legal business name Debarr, Colleen M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104800515 NPPES
Georgia MEDICAID 000493314A

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