Collett, Zachary Daniel

Collett, Zachary Daniel is an sole proprietor health care provider with primary practice located at 600 N Grand Ave , Tahlequah OK 74464-2301. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Collett, Zachary Daniel can be contacted via phone (918) 456-5511.

Contact Information

Primary practice address
600 N Grand Ave Tahlequah OK 74464-2301
Phone: (918) 456-5511
Fax: (918) 458-2339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 454 Oklahoma

Profile Details

NPI number 1932271798
LBN Legal business name Collett, Zachary Daniel
Credentials M.S., ATC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 18 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 1932271798 NPPES
Oklahoma Other 454 STATE LICENSURE NUMBER

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