Collins, Roger L

Collins, Roger L is an individual health care provider with primary practice located at 1420 Old Square Rd , Jackson MS 39211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Collins, Roger L can be contacted via phone (601) 713-1145.

Contact Information

Primary practice address
1420 Old Square Rd Jackson MS 39211
Fax: (601) 713-1106
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AC 8541636 Mississippi

Profile Details

NPI number 1841312600
LBN Legal business name Collins, Roger L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Nov 9th, 2010 - about 16 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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