Colon, Pastor
Colon, Pastor is an individual health care provider with primary practice located at 2960 Winnetka Ave N Suite 208, Crystal MN 55427-2853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Colon, Pastor can be contacted via phone (763) 512-1090.Contact Information
Primary practice address
2960 Winnetka Ave N Suite 208
Crystal MN 55427-2853
Phone: (763) 512-1090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 22830 | Minnesota |
Profile Details
| NPI number | 1811987878 |
|---|---|
| LBN Legal business name | Colon, Pastor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1811987878 | NPPES |
| Other | 02985CO | BCBS | |
| Other | 034966 | BCBS | |
| Other | 0820001 | BCBS | |
| Other | 0820001 | BCBS | |
| Other | 109040 | BCBS | |
| Other | 02985CO | BCBS | |
| Other | 1520186 | BCBS | |
| Other | 1520186 | BCBS | |
| Other | 02985CO | BCBS | |
| Other | 30228600 | BCBS | |
| Other | 02985CO | BCBS | |
| Other | HP13076 | BCBS | |
| Other | 02985CO | BCBS | |
| Other | 0820001 | BCBS | |
| Other | 1521086 | BCBS |
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