Collinsworth, Amy L
Collinsworth, Amy L is an individual health care provider with primary practice located at 4850 Northshore Ln , North Little Rock AR 72118. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Collinsworth, Amy L can be contacted via phone (501) 225-1400.Contact Information
Primary practice address
4850 Northshore Ln
North Little Rock AR 72118
Phone: (501) 225-1400
Fax: (501) 225-1401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD.202964 | Louisiana |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2018-00213 | North Carolina |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME113275 | Florida |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | E-11085 | Arkansas |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 79531 | Georgia |
Profile Details
| NPI number | 1003073628 |
|---|---|
| LBN Legal business name | Collinsworth, Amy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2008 |
| Last updated | Mar 9th, 2018 - 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 | 1003073628 | NPPES |
| Florida | MEDICAID | 006741900 |
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