Collins, Elbert Campbell
Collins, Elbert Campbell is an sole proprietor health care provider with primary practice located at 25647 Redwood Hwy , Cave Junction OR 97523-9332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Collins, Elbert Campbell can be contacted via phone (541) 592-4111.Contact Information
Primary practice address
25647 Redwood Hwy
Cave Junction OR 97523-9332
Phone: (541) 592-4111
Fax: (541) 592-3782
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD14732 | Oregon |
Profile Details
NPI number | 1801891767 |
---|---|
LBN Legal business name | Collins, Elbert Campbell |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 16th, 2005 |
Last updated | Mar 18th, 2013 - about 12 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 | 1801891767 | NPPES |
Oregon | MEDICAID | 180909 |
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