Martin-Herrin, Colleen R

Martin-Herrin, Colleen R is an individual health care provider with primary practice located at 1605 Se Delaware Ave Suite F, Ankeny IA 50021-4594. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Martin-Herrin, Colleen R can be contacted via phone (515) 964-5555.

Contact Information

Primary practice address
1605 Se Delaware Ave Suite F Ankeny IA 50021-4594
Fax: (515) 964-5505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32719 Iowa

Profile Details

NPI number 1528057551
LBN Legal business name Martin-Herrin, Colleen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 8th, 2007 - about 17 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 1528057551 NPPES
Iowa MEDICAID 1184309

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