Collins, Kent J
Collins, Kent J is an individual health care provider with primary practice located at 24310 Moulton Pkwy Ste D , Laguna Woods CA 92637-3306. He recently has 4 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Collins, Kent J can be contacted via phone (949) 830-5330.Contact Information
Primary practice address
24310 Moulton Pkwy Ste D
Laguna Woods CA 92637-3306
Phone: (949) 830-5330
Fax: (949) 830-6926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | Minnesota | |
| Speech, Language and Hearing Service Providers / Assistive Technology Practitioner | 231HA2400X | ||
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | DA5789 | Arizona |
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 7479 | Minnesota |
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | A206 | Nevada |
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 4286 | New Mexico |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AU2994 | California |
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | Minnesota | |
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | 305 DISPENSING | Nevada |
Profile Details
| NPI number | 1558564989 |
|---|---|
| LBN Legal business name | Collins, Kent J |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2007 |
| Last updated | May 2nd, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558564989 | NPPES |
| Minnesota | Other | 640000586 | MEDICARE |
| Minnesota | MEDICAID | 927630000 | MEDICARE |
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