Collins, Jay Daniel

Collins, Jay Daniel is an sole proprietor health care provider with primary practice located at 117 S Burgess St , West Branch MI 48661-1403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Collins, Jay Daniel can be contacted via phone (989) 345-2234.

Contact Information

Primary practice address
117 S Burgess St West Branch MI 48661-1403
Phone: (989) 345-2234
Fax: (989) 345-7066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 43010442486 Michigan

Profile Details

NPI number 1184714065
LBN Legal business name Collins, Jay Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184714065 NPPES
Michigan Other 4301042486 STATE CONTROLLED SUBSTANC
Michigan Other 4301042486 STATE CONTROLLED SUBSTANC
Michigan MEDICAID 4701891 STATE CONTROLLED SUBSTANC

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