Johnson, Collis
Johnson, Collis is an sole proprietor health care provider with primary practice located at 13065 E 17Th Ave , Aurora CO 80045-2532. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Johnson, Collis can be contacted via phone (303) 724-7073.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | CO01476 | Colorado |
| Dental Providers / General Practice | 1223G0001X | 04176 | Colorado |
Profile Details
| NPI number | 1831291855 |
|---|---|
| LBN Legal business name | Johnson, Collis |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Sep 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831291855 | NPPES |
| Colorado | MEDICAID | 02014769 |
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