Collins, Thomas Michael

Collins, Thomas Michael is an individual health care provider with primary practice located at 1359 Champaign , Lincoln Park MI 48146-3303. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Collins, Thomas Michael can be contacted via phone (313) 386-9660.

Contact Information

Primary practice address
1359 Champaign Lincoln Park MI 48146-3303
Fax: (313) 386-5515
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11786 Michigan

Profile Details

NPI number 1114022779
LBN Legal business name Collins, Thomas Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 2007 - 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 1114022779 NPPES
Michigan Other 1958213740 BLUE CROSS MEDICAL

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