Collins, James David

Collins, James David is an sole proprietor health care provider with primary practice located at 1415 E Kincaid St , Mount Vernon WA 98274-4126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Collins, James David can be contacted via phone (360) 424-4111.

Contact Information

Primary practice address
1415 E Kincaid St Mount Vernon WA 98274-4126
Phone: (360) 424-4111
Fax: (360) 428-2457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00046322 Washington

Profile Details

NPI number 1629005384
LBN Legal business name Collins, James David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated May 23rd, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629005384 NPPES
Washington MEDICAID 8463523
Washington Other 0218213
Washington Other 3076CO
Washington Other 0215339
Washington Other 5979CO

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