Collazo, William A

Collazo, William A is an sole proprietor health care provider with primary practice located at 1211 N Shartel Ave Ste 1006 , Oklahoma City OK 73103-2433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Collazo, William A can be contacted via phone (405) 546-7699.

Contact Information

Primary practice address
1211 N Shartel Ave Ste 1006 Oklahoma City OK 73103-2433
Phone: (405) 546-7699
Fax: (405) 546-7795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 17633 Oklahoma

Profile Details

NPI number 1649290594
LBN Legal business name Collazo, William A
Credentials M.D., F.A.C.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Jan 27th, 2021 - about 5 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 1649290594 NPPES
Oklahoma MEDICAID 100256940A

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