Collie, Frank J

Collie, Frank J is an sole proprietor health care provider with primary practice located at 148 Casa St , San Luis Obispo CA 93405-1804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Collie, Frank J can be contacted via phone (805) 543-8310.

Contact Information

Primary practice address
148 Casa St San Luis Obispo CA 93405-1804
Phone: (805) 543-8310
Fax: (805) 543-3754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C288140 California

Profile Details

NPI number 1861496879
LBN Legal business name Collie, Frank J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2005
Last updated Aug 19th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861496879 NPPES
California Other C28814 BLUE CROSS
California Other 00C288140 BLUE CROSS
California MEDICAID 00C288140 BLUE CROSS

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