Colello, Erin Reynolds

Colello, Erin Reynolds is an individual health care provider with primary practice located at 4300 Londonderry Rd , Harrisburg PA 17109-5317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Colello, Erin Reynolds can be contacted via phone (717) 231-8772.

Contact Information

Primary practice address
4300 Londonderry Rd Harrisburg PA 17109-5317
Phone: (717) 231-8772
Fax: (717) 231-8435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA055524 Pennsylvania

Profile Details

NPI number 1710245980
LBN Legal business name Colello, Erin Reynolds
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2012
Last updated Jan 16th, 2021 - 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 1710245980 NPPES
Pennsylvania MEDICAID 103155154

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