Poulsom, Robert Colin

Poulsom, Robert Colin is an sole proprietor health care provider with primary practice located at 6800 Main St Ste 206, Downers Grove IL 60516-3493. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Poulsom, Robert Colin can be contacted via phone (630) 852-1020.

Contact Information

Primary practice address
6800 Main St Ste 206 Downers Grove IL 60516-3493
Phone: (630) 852-1020
Fax: (630) 968-9229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X Illinois

Profile Details

NPI number 1689744054
LBN Legal business name Poulsom, Robert Colin
Credentials D.D.S., M.S., J.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
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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