Collins, Carissa Jane

Collins, Carissa Jane is an individual health care provider with primary practice located at 2035 Saint John Ave , Dyersburg TN 38024-2209. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Collins, Carissa Jane can be contacted via phone (731) 541-8344.

Contact Information

Primary practice address
2035 Saint John Ave Dyersburg TN 38024-2209
Phone: (731) 541-8344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1578862918
LBN Legal business name Collins, Carissa Jane
Credentials CPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2011
Last updated Mar 24th, 2011 - about 14 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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