Collett, Vaughn M
Collett, Vaughn M is an individual health care provider with primary practice located at 325D Kennedy Memorial Dr # Ef , Waterville ME 04901-4530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Collett, Vaughn M can be contacted via phone (207) 861-7862.Contact Information
Primary practice address
325D Kennedy Memorial Dr # Ef
Waterville ME 04901-4530
Phone: (207) 861-7862
Fax: (207) 861-7869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 014881 | Maine |
Profile Details
| NPI number | 1558367060 |
|---|---|
| LBN Legal business name | Collett, Vaughn M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Dec 10th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558367060 | NPPES |
| Maine | Other | 036815 | ANTHEM STAR ID# |
| Maine | MEDICAID | 262020099 | ANTHEM STAR ID# |
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