Vienna, Colleen

Vienna, Colleen is an sole proprietor health care provider with primary practice located at 26777 Lorain Rd Suite 500, North Olmsted OH 44070. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Vienna, Colleen can be contacted via phone (440) 734-7300.

Contact Information

Primary practice address
26777 Lorain Rd Suite 500 North Olmsted OH 44070
Fax: (440) 734-7376
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19284 Ohio

Profile Details

NPI number 1043390636
LBN Legal business name Vienna, Colleen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1043390636 NPPES
Ohio Other 19284 STATE LICENSE NUMBER

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