Collins, Samuel Brown
Collins, Samuel Brown is an individual health care provider with primary practice located at 4402 Shipyard Blvd , Wilmington NC 28403-6161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Collins, Samuel Brown can be contacted via phone (910) 452-1400.Contact Information
Primary practice address
4402 Shipyard Blvd
Wilmington NC 28403-6161
Phone: (910) 452-1400
Fax: (910) 332-1072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 9400758 | North Carolina |
Profile Details
| NPI number | 1669477055 |
|---|---|
| LBN Legal business name | Collins, Samuel Brown |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Nov 24th, 2009 - about 15 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 | 1669477055 | NPPES |
| North Carolina | Other | 01-28698 | UNITED HEALTHCARE |
| North Carolina | Other | 930077053 | UNITED HEALTHCARE |
| North Carolina | Other | 930084654 | UNITED HEALTHCARE |
| North Carolina | Other | B4543 | UNITED HEALTHCARE |
| North Carolina | Other | 12191 | UNITED HEALTHCARE |
| North Carolina | MEDICAID | 8912191 | UNITED HEALTHCARE |
| North Carolina | MEDICAID | Q0075F | UNITED HEALTHCARE |
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