Collins, Nathan Charles

Collins, Nathan Charles is an individual health care provider with primary practice located at 201 Childers Dr Suite 117, Bastrop TX 78602-4154. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Collins, Nathan Charles can be contacted via phone (512) 800-1919.

Contact Information

Primary practice address
201 Childers Dr Suite 117 Bastrop TX 78602-4154
Fax: (512) 582-8520
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 22349 Texas

Profile Details

NPI number 1528154119
LBN Legal business name Collins, Nathan Charles
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 27th, 2016 - about 8 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 1528154119 NPPES
New Mexico MEDICAID 7127065

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