Collier, Milo S

Collier, Milo S is an individual health care provider with primary practice located at 1113 Vandercook Way Suite 120, Longview WA 98632-4024. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as his primary health care specialty. Collier, Milo S can be contacted via phone (360) 423-0459.

Contact Information

Primary practice address
1113 Vandercook Way Suite 120 Longview WA 98632-4024
Phone: (360) 423-0459
Fax: (360) 575-1144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X PS00000061 Washington

Profile Details

NPI number 1053631085
LBN Legal business name Collier, Milo S
Credentials Certified Psychologist (CP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2010
Last updated Jun 1st, 2010 - about 15 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 1053631085 NPPES
Washington MEDICAID 1057407

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