Colosimo, Vincent

Colosimo, Vincent is an individual health care provider with primary practice located at 2811 N Green Valley Pkwy , Henderson NV 89014-0401. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Colosimo, Vincent can be contacted via phone (702) 434-2219.

Contact Information

Primary practice address
2811 N Green Valley Pkwy Henderson NV 89014-0401
Phone: (702) 434-2219
Fax: (702) 456-6160
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4547T Nevada

Profile Details

NPI number 1639133978
LBN Legal business name Colosimo, Vincent
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jun 25th, 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 1639133978 NPPES
Nevada Other 100510914 RENO OFFICE MEDICAID#
Nevada Other 100511623 RENO OFFICE MEDICAID#
Nevada Other 100511625 RENO OFFICE MEDICAID#
Nevada Other 100511624 RENO OFFICE MEDICAID#
Nevada Other 100507579 RENO OFFICE MEDICAID#
Nevada Other 100511622 RENO OFFICE MEDICAID#
Nevada MEDICAID 001264970 RENO OFFICE MEDICAID#
Nevada Other 100511621 RENO OFFICE MEDICAID#

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