Mcnicholas, Colleen Patricia

Mcnicholas, Colleen Patricia is an individual health care provider with primary practice located at 4901 Forest Park Ave Ste 710 Ste 710, Saint Louis MO 63108-1402. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Mcnicholas, Colleen Patricia can be contacted via phone (314) 362-4211.

Contact Information

Primary practice address
4901 Forest Park Ave Ste 710 Ste 710 Saint Louis MO 63108-1402
Phone: (314) 362-4211
Fax: (314) 362-0049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2011003938 Missouri
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 2011003938 Missouri

Profile Details

NPI number 1962664730
LBN Legal business name Mcnicholas, Colleen Patricia
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2008
Last updated Jan 24th, 2018 - about 8 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 1962664730 NPPES
Missouri MEDICAID 1962664730
Missouri MEDICAID ENROLLED

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