Collum, Earle Smith

Collum, Earle Smith is an individual health care provider with primary practice located at 10401 W Thunderbird Blvd , Sun City AZ 85351-3004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Collum, Earle Smith can be contacted via phone (623) 977-7721.

Contact Information

Primary practice address
10401 W Thunderbird Blvd Sun City AZ 85351-3004
Phone: (623) 977-7721
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 17037 Arizona

Profile Details

NPI number 1639139264
LBN Legal business name Collum, Earle Smith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Nov 30th, 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 1639139264 NPPES
Arizona MEDICAID 111295
Arizona Other AX4478
Arizona Other 1Z7112
Arizona Other AZ0182900
Arizona Other AZ0828790

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