Collett, Jeffrey P

Collett, Jeffrey P is an individual health care provider with primary practice located at 1005 Pennsylvania Ave Suite 110, Ottumwa IA 52501-6413. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Collett, Jeffrey P can be contacted via phone (641) 682-8571.

Contact Information

Primary practice address
1005 Pennsylvania Ave Suite 110 Ottumwa IA 52501-6413
Phone: (641) 682-8571
Fax: (641) 682-8573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2087 Iowa

Profile Details

NPI number 1912909516
LBN Legal business name Collett, Jeffrey P
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jul 8th, 2007 - about 19 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 1912909516 NPPES
Iowa MEDICAID 2157651

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