Collins, John C

Collins, John C is an individual health care provider with primary practice located at 535 Roxbury Rd , Rockford IL 61107-5076. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Collins, John C can be contacted via phone (815) 387-1717.

Contact Information

Primary practice address
535 Roxbury Rd Rockford IL 61107-5076
Phone: (815) 387-1717
Fax: (815) 387-1718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301084933 Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-059563 Illinois

Profile Details

NPI number 1750344404
LBN Legal business name Collins, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jan 19th, 2015 - about 9 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 1750344404 NPPES
Michigan MEDICAID 4678381
Michigan MEDICAID 1750344404
Michigan Other 1417961137
Michigan MEDICAID 4733821

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