Coller, Dale A

Coller, Dale A is an individual health care provider with primary practice located at 854 Washington Ave Ste 150 , Holland MI 49423-7147. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Coller, Dale A can be contacted via phone (616) 395-2853.

Contact Information

Primary practice address
854 Washington Ave Ste 150 Holland MI 49423-7147
Phone: (616) 395-2853
Fax: (616) 393-5319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101013369 Michigan
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 5101013369 Michigan
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 5101013369 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 5101013369 Michigan

Profile Details

NPI number 1992780258
LBN Legal business name Coller, Dale A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Mar 3rd, 2021 - about 3 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 1992780258 NPPES
Michigan MEDICAID 4540244

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