Colter, Colin J

Colter, Colin J is an individual health care provider with primary practice located at 1964 W 11 Mile Rd Ste 1 , Berkley MI 48072-3046. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Colter, Colin J can be contacted via phone (248) 544-9300.

Contact Information

Primary practice address
1964 W 11 Mile Rd Ste 1 Berkley MI 48072-3046
Phone: (248) 544-9300
Fax: (248) 544-1148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9418 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601009198 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA62203 California

Profile Details

NPI number 1831756717
LBN Legal business name Colter, Colin J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2019
Last updated Jul 2nd, 2024 - about last year

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 1831756717 NPPES
Michigan MEDICAID 1831756717

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