Collar, Mitchell Allen

Collar, Mitchell Allen is an sole proprietor health care provider with primary practice located at 875 Perimeter Dr , Moscow ID 83844-9803. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Collar, Mitchell Allen can be contacted via phone (208) 885-6111.

Contact Information

Primary practice address
875 Perimeter Dr Moscow ID 83844-9803
Phone: (208) 885-6111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Idaho

Profile Details

NPI number 1487207072
LBN Legal business name Collar, Mitchell Allen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2019
Last updated Jul 22nd, 2019 - about 6 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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