Collette, Andrew Blake

Collette, Andrew Blake is an individual health care provider with primary practice located at 1102 W 32Nd St , Joplin MO 64804-3503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Collette, Andrew Blake can be contacted via phone (417) 347-5400.

Contact Information

Primary practice address
1102 W 32Nd St Joplin MO 64804-3503
Phone: (417) 347-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2023046522 Missouri

Profile Details

NPI number 1104026442
LBN Legal business name Collette, Andrew Blake
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2007
Last updated Dec 21st, 2023 - about last year

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 1104026442 NPPES
Florida MEDICAID 0212511-00
Florida Other HRE4P

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