Fahrenbach, Colleen Threse

Fahrenbach, Colleen Threse is an individual health care provider with primary practice located at 1500 W Saginaw St , Lansing MI 48915-1380. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Fahrenbach, Colleen Threse can be contacted via phone (517) 485-8615.

Contact Information

Primary practice address
1500 W Saginaw St Lansing MI 48915-1380
Phone: (517) 485-8615
Fax: (517) 485-0169
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 15029 Michigan

Profile Details

NPI number 1538148028
LBN Legal business name Fahrenbach, Colleen Threse
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538148028 NPPES
Michigan MEDICAID 2712072
Michigan Other 732955

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