Collins, Charles David
Collins, Charles David is an individual health care provider with primary practice located at 2530 S Telshor Blvd Suite #207, Las Cruces NM 88011-4951. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Collins, Charles David can be contacted via phone (575) 556-6400.Contact Information
Primary practice address
2530 S Telshor Blvd Suite #207
Las Cruces NM 88011-4951
Phone: (575) 556-6400
Fax: (575) 556-6405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2003-0073 | New Mexico |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 2003-0073 | New Mexico |
Profile Details
| NPI number | 1790768265 |
|---|---|
| LBN Legal business name | Collins, Charles David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Apr 11th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790768265 | NPPES |
| New Mexico | MEDICAID | 48582832 | |
| New Mexico | Other | P00892129 |
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