Collin, Charles Frederick

Collin, Charles Frederick is an individual health care provider with primary practice located at 1918 Randolph Rd Suite 500, Charlotte NC 28207-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Collin, Charles Frederick can be contacted via phone (704) 364-8100.

Contact Information

Primary practice address
1918 Randolph Rd Suite 500 Charlotte NC 28207-1100
Phone: (704) 364-8100
Fax: (704) 365-2073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 30897 North Carolina

Profile Details

NPI number 1790721371
LBN Legal business name Collin, Charles Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated May 14th, 2014 - about 11 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 1790721371 NPPES
North Carolina MEDICAID 8923803

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