Colgrove, David Lee

Colgrove, David Lee is an individual health care provider with primary practice located at 1225 E Coolspring Ave Suite 300, Michigan City IN 46360-6312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Colgrove, David Lee can be contacted via phone (219) 878-5032.

Contact Information

Primary practice address
1225 E Coolspring Ave Suite 300 Michigan City IN 46360-6312
Phone: (219) 878-5032
Fax: (219) 861-8151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01069760A Indiana

Profile Details

NPI number 1891855680
LBN Legal business name Colgrove, David Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Apr 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891855680 NPPES
Indiana MEDICAID 201024240

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