Collins, John O
Collins, John O is an individual health care provider with primary practice located at 4420 Lake Boone Trl , Raleigh NC 27607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Collins, John O can be contacted via phone (919) 784-7093.Contact Information
Primary practice address
4420 Lake Boone Trl
Raleigh NC 27607
Phone: (919) 784-7093
Fax: (919) 784-7395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01070620A | Indiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35.127835 | Ohio |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2009-01357 | North Carolina |
Profile Details
| NPI number | 1003830399 |
|---|---|
| LBN Legal business name | Collins, John O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Aug 7th, 2020 - about 5 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 | 1003830399 | NPPES |
| Indiana | MEDICAID | 201050780 | |
| Indiana | MEDICAID | 0060443 |
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