Collins, Stephanie W

Collins, Stephanie W is an sole proprietor health care provider with primary practice located at 96 Ocean St Ste 4 , South Portland ME 04106-2855. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as her primary health care specialty. Collins, Stephanie W can be contacted via phone (207) 747-4455.

Contact Information

Primary practice address
96 Ocean St Ste 4 South Portland ME 04106-2855
Fax: (888) 907-5762
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X DO1663 Maine

Profile Details

NPI number 1073599791
LBN Legal business name Collins, Stephanie W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Jul 21st, 2022 - about 2 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 1073599791 NPPES
Maine MEDICAID 254890099

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