Collins, Lethia Annette
Collins, Lethia Annette is an sole proprietor health care provider with primary practice located at 10017 County Line Rd , Sellersburg IN 47172-9207. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse First Assistant. Nursing Service Providers / Registered Nurse First Assistant is her primary health care specialty. Collins, Lethia Annette can be contacted via phone (812) 246-8710.Contact Information
Primary practice address
10017 County Line Rd
Sellersburg IN 47172-9207
Phone: (812) 246-8710
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7100612A | Indiana |
Nursing Service Providers / Registered Nurse First Assistant | 163WR0006X | 71000612A | Indiana |
Profile Details
NPI number | 1053392712 |
---|---|
LBN Legal business name | Collins, Lethia Annette |
Credentials | FNP, RNFA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 9th, 2005 |
Last updated | Jul 25th, 2008 - about 16 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 | 1053392712 | NPPES |
Indiana | MEDICAID | 200219360B |
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