Collins, Timothy Ervin
Collins, Timothy Ervin is an individual health care provider with primary practice located at 616 Campus Drive Ste 100, Abingdon VA 24210. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Collins, Timothy Ervin can be contacted via phone (276) 619-5020.Contact Information
Primary practice address
616 Campus Drive Ste 100
Abingdon VA 24210
Phone: (276) 619-5020
Fax: (276) 619-5100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0401007964 | Virginia |
Profile Details
| NPI number | 1467476986 |
|---|---|
| LBN Legal business name | Collins, Timothy Ervin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Dec 26th, 2019 - about 6 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 | 1467476986 | NPPES |
| Other | 1321074 | UNITED CONCORDIA | |
| Other | 267057 | UNITED CONCORDIA | |
| MEDICAID | 008200041 | UNITED CONCORDIA |
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