Collins, Roger P

Collins, Roger P is an individual health care provider with primary practice located at 395 S Main St , Manchester NH 03102. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Collins, Roger P can be contacted via phone (603) 669-0447.

Contact Information

Primary practice address
395 S Main St Manchester NH 03102
Fax: (603) 669-0850
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X NH237 New Hampshire
Eye and Vision Services Providers / Optometrist 152W00000X NH0237 New Hampshire

Profile Details

NPI number 1245395045
LBN Legal business name Collins, Roger P
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jul 8th, 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 1245395045 NPPES
Other NA1147 HARVARD PILGRIM
Other 0907760Y0NH01 HARVARD PILGRIM
Other 8730 HARVARD PILGRIM
MEDICAID 80587760 HARVARD PILGRIM

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