Smith, Colleen
Smith, Colleen is an individual health care provider with primary practice located at 1 Healthy Pl Suite 101, Pataskala OH 43062-7067. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smith, Colleen can be contacted via phone (220) 564-1900.Contact Information
Primary practice address
1 Healthy Pl Suite 101
Pataskala OH 43062-7067
Phone: (220) 564-1900
Fax: (220) 564-1901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35079346 | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-079346 | Ohio |
Profile Details
| NPI number | 1255330965 |
|---|---|
| LBN Legal business name | Smith, Colleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Mar 24th, 2023 - about last year |
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 | 1255330965 | NPPES |
| Ohio | MEDICAID | 2230722 |
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