Everett, Colleen M

Everett, Colleen M is an individual health care provider with primary practice located at 885 S Governors Ave , Dover DE 19904-4158. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Everett, Colleen M can be contacted via phone (302) 734-5861.

Contact Information

Primary practice address
885 S Governors Ave Dover DE 19904-4158
Phone: (302) 734-5861
Fax: (302) 734-1921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 130001264 Delaware

Profile Details

NPI number 1740255512
LBN Legal business name Everett, Colleen M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Aug 31st, 2010 - about 15 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 1740255512 NPPES
Delaware Other 161525705 BCBSDE
Delaware MEDICAID 0001162422 BCBSDE

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