Kallins, Marc Stephen

Kallins, Marc Stephen is an individual health care provider with primary practice located at 4110 Manatee Ave W , Bradenton FL 34205-1719. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Kallins, Marc Stephen can be contacted via phone (941) 748-8383.

Contact Information

Primary practice address
4110 Manatee Ave W Bradenton FL 34205-1719
Phone: (941) 748-8383
Fax: (941) 748-8484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X ME40567 Florida
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME40567 Florida

Profile Details

NPI number 1366437576
LBN Legal business name Kallins, Marc Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Oct 12th, 2023 - about 2 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 1366437576 NPPES
Florida MEDICAID 068398100

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