Supit, Collette Elke
Supit, Collette Elke is an individual health care provider with primary practice located at 415 Chalan San Antonio Suite 108, Tamuning GU 96913-3620. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Supit, Collette Elke can be contacted via phone (671) 647-3526.Contact Information
Primary practice address
415 Chalan San Antonio Suite 108
Tamuning GU 96913-3620
Phone: (671) 647-3526
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D1001 | Guam |
Profile Details
| NPI number | 1427475300 |
|---|---|
| LBN Legal business name | Supit, Collette Elke |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2014 |
| Last updated | Mar 27th, 2014 - 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.
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