Collingham, Justin

Collingham, Justin is an individual health care provider with primary practice located at 1656 N California Blvd Suite 300, Walnut Creek CA 94596-4180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Collingham, Justin can be contacted via phone (925) 937-5214.

Contact Information

Primary practice address
1656 N California Blvd Suite 300 Walnut Creek CA 94596-4180
Fax: (925) 937-5936
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X A90070 California

Profile Details

NPI number 1346382314
LBN Legal business name Collingham, Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Dec 15th, 2021 - about 3 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 1346382314 NPPES
California MEDICAID 00A900700

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