Collins, Cheryl Diane
Collins, Cheryl Diane is an sole proprietor health care provider with primary practice located at 837 E Main St , Medford OR 97504-7151. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Collins, Cheryl Diane can be contacted via phone (541) 772-2763.Contact Information
Primary practice address
837 E Main St
Medford OR 97504-7151
Phone: (541) 772-2763
Fax: (541) 734-3161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 06-03-54 | Oregon |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 060354 | Oregon |
Profile Details
| NPI number | 1144532821 |
|---|---|
| LBN Legal business name | Collins, Cheryl Diane |
| Credentials | CADC II |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2010 |
| Last updated | Jul 9th, 2010 - 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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