Collins, Tracy M
Collins, Tracy M is an individual health care provider with primary practice located at 9100 Columbia Avenue , Munster IN 46321-2907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Collins, Tracy M can be contacted via phone (219) 836-5040.Contact Information
Primary practice address
9100 Columbia Avenue
Munster IN 46321-2907
Phone: (219) 836-5040
Fax: (219) 836-6835
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01041366A | Indiana |
Profile Details
NPI number | 1720088818 |
---|---|
LBN Legal business name | Collins, Tracy M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 29th, 2005 |
Last updated | May 14th, 2010 - about 14 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 | 1720088818 | NPPES |
Indiana | Other | 000000081279 | ANTHEM BCBS |
Indiana | MEDICAID | 100096670 | ANTHEM BCBS |
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