Collins, Jenneth Marie
Collins, Jenneth Marie is an individual health care provider with primary practice located at 111 Progress Dr , Bellevue OH 44811-9094. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Collins, Jenneth Marie can be contacted via phone (419) 484-8181.Contact Information
Primary practice address
111 Progress Dr
Bellevue OH 44811-9094
Phone: (419) 484-8181
Fax: (419) 484-1033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5239/T2143 | Ohio |
Profile Details
| NPI number | 1346211687 |
|---|---|
| LBN Legal business name | Collins, Jenneth Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Feb 21st, 2012 - about 12 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 | 1346211687 | NPPES |
| Ohio | MEDICAID | 2318487 |
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