Collard, Dorcas Eileen

Collard, Dorcas Eileen is an sole proprietor health care provider with primary practice located at 84 Broad St , Glens Falls NY 12801-4381. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Collard, Dorcas Eileen can be contacted via phone (518) 798-0528.

Contact Information

Primary practice address
84 Broad St Glens Falls NY 12801-4381
Phone: (518) 798-0528
Fax: (518) 798-9576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F380604-1 New York

Profile Details

NPI number 1326170200
LBN Legal business name Collard, Dorcas Eileen
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Nov 16th, 2011 - about 13 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 1326170200 NPPES
New York MEDICAID 03144314

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