Simplice-Colin, Ivena

Simplice-Colin, Ivena is an sole proprietor health care provider with primary practice located at 2380 Salvio St Ste 200 , Concord CA 94520. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Simplice-Colin, Ivena can be contacted via phone (925) 602-1750.

Contact Information

Primary practice address
2380 Salvio St Ste 200 Concord CA 94520
Phone: (925) 602-1750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X X-09414 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X ASW83231 California

Profile Details

NPI number 1265807051
LBN Legal business name Simplice-Colin, Ivena
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2015
Last updated Apr 30th, 2019 - about 5 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 1265807051 NPPES
California MEDICAID ASW83231
California MEDICAID X-09414

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