Shattuck, Colleen M

Shattuck, Colleen M is an individual health care provider with primary practice located at 6455 S Yosemite St #600, Greenwood Village CO 80111-5139. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Shattuck, Colleen M can be contacted via phone (303) 710-2013.

Contact Information

Primary practice address
6455 S Yosemite St #600 Greenwood Village CO 80111-5139
Phone: (303) 710-2013
Fax: (855) 244-2146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1660 Colorado

Profile Details

NPI number 1376672485
LBN Legal business name Shattuck, Colleen M
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 17th, 2015 - about 10 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 1376672485 NPPES
Colorado MEDICAID 09738207

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