Collins, Daniel Leo

Collins, Daniel Leo is an individual health care provider with primary practice located at 3333 Silas Creek Pkwy , Winston Salem NC 27103-3013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Collins, Daniel Leo can be contacted via phone (336) 718-5763.

Contact Information

Primary practice address
3333 Silas Creek Pkwy Winston Salem NC 27103-3013
Fax: (336) 718-9861
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 9500866 North Carolina

Profile Details

NPI number 1912982398
LBN Legal business name Collins, Daniel Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Feb 14th, 2018 - about 6 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 1912982398 NPPES
North Carolina MEDICAID 8923630
North Carolina MEDICAID GP1467

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