Collini, Michael P

Collini, Michael P is an individual health care provider with primary practice located at 7100 Oakmont Blvd Ste 101 , Fort Worth TX 76132-3908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Collini, Michael P can be contacted via phone (866) 367-8768.

Contact Information

Primary practice address
7100 Oakmont Blvd Ste 101 Fort Worth TX 76132-3908
Phone: (866) 367-8768
Fax: (817) 541-9501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X J5557 Texas

Profile Details

NPI number 1801882329
LBN Legal business name Collini, Michael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jun 3rd, 2020 - about 4 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 1801882329 NPPES
Texas Other 113290405 MEDICAID OTHER
Texas MEDICAID 113290406 MEDICAID OTHER
Texas MEDICAID 113290402 MEDICAID OTHER
Texas MEDICAID 113290403 MEDICAID OTHER
Texas MEDICAID 113290404 MEDICAID OTHER

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