Collins, Susan M
Collins, Susan M is an individual health care provider with primary practice located at 455 Lakeshore Pkwy , Rock Hill SC 29730-4205. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Collins, Susan M can be contacted via phone (803) 909-6363.Contact Information
Primary practice address
455 Lakeshore Pkwy
Rock Hill SC 29730-4205
Phone: (803) 909-6363
Fax: (803) 324-2264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2854 | South Carolina |
Profile Details
| NPI number | 1346359569 |
|---|---|
| LBN Legal business name | Collins, Susan M |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Oct 9th, 2020 - about 5 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 | 1346359569 | NPPES |
| South Carolina | MEDICAID | Z28541 |
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