Collins, Elzora Darlene
Collins, Elzora Darlene is an sole proprietor health care provider with primary practice located at 2821 N Vel R Phillips Ave Ste 123 , Milwaukee WI 53212-2370. 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, Elzora Darlene can be contacted via phone (414) 264-4217.Contact Information
Primary practice address
2821 N Vel R Phillips Ave Ste 123
Milwaukee WI 53212-2370
Phone: (414) 264-4217
Fax: (414) 264-4218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1637-132 | Wisconsin |
Profile Details
| NPI number | 1396910634 |
|---|---|
| LBN Legal business name | Collins, Elzora Darlene |
| Credentials | CSAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Jun 21st, 2023 - about 2 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 | 1396910634 | NPPES |
| Wisconsin | MEDICAID | 39175500 |
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