Cunningham, Colleen Marie
Cunningham, Colleen Marie is an individual health care provider with primary practice located at 10750 W Mcdowell Rd , Avondale AZ 85392. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cunningham, Colleen Marie can be contacted via phone (623) 873-0321.Contact Information
Primary practice address
10750 W Mcdowell Rd
Avondale AZ 85392
Phone: (623) 873-0321
Fax: (623) 849-9623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35442 | Arizona |
Profile Details
| NPI number | 1942240858 |
|---|---|
| LBN Legal business name | Cunningham, Colleen Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jun 21st, 2011 - about 13 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 | 1942240858 | NPPES |
| Arizona | MEDICAID | 098368 |
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