Collins-Ogle, Michelle Denise

Collins-Ogle, Michelle Denise is an sole proprietor health care provider with primary practice located at 111 E 210Th St , Bronx NY 10467-2401. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Collins-Ogle, Michelle Denise can be contacted via phone (718) 741-2450.

Contact Information

Primary practice address
111 E 210Th St Bronx NY 10467-2401
Phone: (718) 741-2450
Fax: (718) 654-6692
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 200000753 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 295923 New York
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 295923 New York

Profile Details

NPI number 1336275403
LBN Legal business name Collins-Ogle, Michelle Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2007
Last updated Oct 21st, 2019 - about 6 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 1336275403 NPPES
North Carolina MEDICAID 891281Y

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