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Contact Information

JOSEPH R COLELLA, OD
15821 SR 525
SUITE 1
LANGLEY, WA98260-9780
 Phone: 360-321-4779
 Fax: 360-321-4782
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JOSEPH R COLELLA · (Male)

NPI Number 1386736437
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/28/2006
Last updated 07/12/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # 741
  • WA License # 60279998
  • MT Medicaid 483055
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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