Collins, Roger Barrett
Collins, Roger Barrett is an individual health care provider with primary practice located at 105 N Greenleaf St , Gurnee IL 60031-3326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Collins, Roger Barrett can be contacted via phone (847) 623-3090.Contact Information
Primary practice address
105 N Greenleaf St
Gurnee IL 60031-3326
Phone: (847) 623-3090
Fax: (847) 623-9620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | Illinois |
Profile Details
| NPI number | 1073504973 |
|---|---|
| LBN Legal business name | Collins, Roger Barrett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Mar 11th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073504973 | NPPES |
| Illinois | Other | 04915144 | BCBS OF ILLINOIS |
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