Petoskey, Collin

Petoskey, Collin is an individual health care provider with primary practice located at 7620 N University St Ste 109 , Peoria IL 61614-8300. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Petoskey, Collin can be contacted via phone (309) 693-0043.

Contact Information

Primary practice address
7620 N University St Ste 109 Peoria IL 61614-8300
Phone: (309) 693-0043
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.030409 Illinois

Profile Details

NPI number 1851777064
LBN Legal business name Petoskey, Collin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2015
Last updated Aug 11th, 2015 - about 11 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.

Request for update

Popular Providers