Lodico, Collin Andrew
Lodico, Collin Andrew is an sole proprietor health care provider with primary practice located at 2485 Tech Dr , Bettendorf IA 52722-3262. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lodico, Collin Andrew can be contacted via phone (563) 355-1611.Contact Information
Primary practice address
2485 Tech Dr
Bettendorf IA 52722-3262
Phone: (563) 355-1611
Fax: (563) 355-6617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 00833 | Iowa |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 071-005507 | Illinois |
Profile Details
| NPI number | 1528161429 |
|---|---|
| LBN Legal business name | Lodico, Collin Andrew |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jun 22nd, 2009 - about 16 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 | 1528161429 | NPPES |
| Iowa | MEDICAID | 0263178 |
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