Collins, Paul Calvin
Collins, Paul Calvin is an sole proprietor health care provider with primary practice located at 3875 E Overland Rd , Meridian ID 83642-9005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Collins, Paul Calvin can be contacted via phone (208) 287-0203.Contact Information
Primary practice address
3875 E Overland Rd
Meridian ID 83642-9005
Phone: (208) 287-0203
Fax: (208) 288-5490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | M4426 | Idaho |
Profile Details
| NPI number | 1568443158 |
|---|---|
| LBN Legal business name | Collins, Paul Calvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Jul 13th, 2013 - about 12 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 | 1568443158 | NPPES |
| Idaho | MEDICAID | 002753900 |
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