Collins, Ethan

Collins, Ethan is an individual health care provider with primary practice located at 208W Front Street , Coeburn VA 24230. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Collins, Ethan can be contacted via phone (276) 455-5556.

Contact Information

Primary practice address
208W Front Street Coeburn VA 24230
Phone: (276) 455-5556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 0001238326 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024183385 Virginia

Profile Details

NPI number 1336713148
LBN Legal business name Collins, Ethan
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2021
Last updated Feb 23rd, 2022 - 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.

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