Dessert, Colton Ken
Dessert, Colton Ken is an individual health care provider with primary practice located at 2200 Bergquist Dr Ste 1 , Jbsa Lackland TX 78236-9908. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Dessert, Colton Ken can be contacted via phone (210) 292-7412.Contact Information
Primary practice address
2200 Bergquist Dr Ste 1
Jbsa Lackland TX 78236-9908
Phone: (210) 292-7412
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X |
Profile Details
| NPI number | 1750959110 |
|---|---|
| LBN Legal business name | Dessert, Colton Ken |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2021 |
| Last updated | Jun 14th, 2021 - about 3 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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