Collins, Grant Conrad
Collins, Grant Conrad is an sole proprietor health care provider with primary practice located at 2946 Jeremiah Ln Nw , Rochester MN 55901-4445. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Collins, Grant Conrad can be contacted via phone (507) 258-5400.Contact Information
Primary practice address
2946 Jeremiah Ln Nw
Rochester MN 55901-4445
Phone: (507) 258-5400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D12822 | Minnesota |
Profile Details
NPI number | 1811208424 |
---|---|
LBN Legal business name | Collins, Grant Conrad |
Credentials | D.D.S., M.S. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 29th, 2010 |
Last updated | Mar 23rd, 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.
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