Colvin, Michael James
Colvin, Michael James is an sole proprietor health care provider with primary practice located at 300 Main St , Onalaska WI 54650-2949. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Colvin, Michael James can be contacted via phone (608) 783-8390.Contact Information
Primary practice address
300 Main St
Onalaska WI 54650-2949
Phone: (608) 783-8390
Fax: (608) 783-8385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2933-015 | Wisconsin |
| Dental Providers / General Practice | 1223G0001X | D9388 | Minnesota |
Profile Details
| NPI number | 1396836607 |
|---|---|
| LBN Legal business name | Colvin, Michael James |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396836607 | NPPES |
| Wisconsin | MEDICAID | 33443200 |
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