Collins, Edward Charles
Collins, Edward Charles is an individual health care provider with primary practice located at 3367 Douglas Rd , South Bend IN 46635-1779. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Collins, Edward Charles can be contacted via phone (574) 272-8823.Contact Information
Primary practice address
3367 Douglas Rd
South Bend IN 46635-1779
Phone: (574) 272-8823
Fax: (574) 277-1837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12012076A | Indiana |
Profile Details
| NPI number | 1235454950 |
|---|---|
| LBN Legal business name | Collins, Edward Charles |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2010 |
| Last updated | Dec 21st, 2021 - about 3 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 | 1235454950 | NPPES |
| Indiana | MEDICAID | 201225610 |
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