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
Fax: (847) 623-9620
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073504973 NPPES
Illinois Other 04915144 BCBS OF ILLINOIS

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