Colombo, Jean M

Colombo, Jean M is an individual health care provider with primary practice located at 1017 S 2Nd Ave Ste 2, Walla Walla WA 99362-4183. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Colombo, Jean M can be contacted via phone (509) 522-0606.

Contact Information

Primary practice address
1017 S 2Nd Ave Ste 2 Walla Walla WA 99362-4183
Phone: (509) 522-0606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00074096 Washington
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP30002544 Washington

Profile Details

NPI number 1306845268
LBN Legal business name Colombo, Jean M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jan 21st, 2008 - 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 1306845268 NPPES
Washington MEDICAID 9615253
Washington MEDICAID 035167

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