Collins, Laura Jeanne

Collins, Laura Jeanne is an individual health care provider with primary practice located at 400 Professional Center Dr Suite 424, Novato CA 94947-4367. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Collins, Laura Jeanne can be contacted via phone (415) 448-1555.

Contact Information

Primary practice address
400 Professional Center Dr Suite 424 Novato CA 94947-4367
Phone: (415) 448-1555
Fax: (415) 892-8732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A71938 California

Profile Details

NPI number 1619976339
LBN Legal business name Collins, Laura Jeanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jul 9th, 2007 - about 17 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 1619976339 NPPES
California MEDICAID A71938

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