Colgan Jr., John Anthony
Colgan Jr., John Anthony is an sole proprietor health care provider with primary practice located at 2850 Lone Oak Rd Ste 1 , Paducah KY 42003-8043. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Colgan Jr., John Anthony can be contacted via phone (270) 554-5437.Contact Information
Primary practice address
2850 Lone Oak Rd Ste 1
Paducah KY 42003-8043
Phone: (270) 554-5437
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 9215 | Kentucky |
Profile Details
| NPI number | 1073868998 |
|---|---|
| LBN Legal business name | Colgan Jr., John Anthony |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2012 |
| Last updated | Feb 3rd, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073868998 | NPPES |
| Kentucky | MEDICAID | 7100218260 |
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