Degroot, Colleen

Degroot, Colleen is an individual health care provider with primary practice located at 1108 Ross Clark Cir Fl 4 , Dothan AL 36301-3022. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Degroot, Colleen can be contacted via phone (334) 699-4300.

Contact Information

Primary practice address
1108 Ross Clark Cir Fl 4 Dothan AL 36301-3022
Phone: (334) 699-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11248938-1206 Utah
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.2444 Alabama

Profile Details

NPI number 1639794860
LBN Legal business name Degroot, Colleen
Credentials PA-S
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2020
Last updated Aug 21st, 2024 - about 2 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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