Mccollaum, Marc Edwin
Mccollaum, Marc Edwin is an individual health care provider with primary practice located at 11725 Collier Blvd H , Naples FL 34116-6524. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mccollaum, Marc Edwin can be contacted via phone (239) 349-2500.Contact Information
Primary practice address
11725 Collier Blvd H
Naples FL 34116-6524
Phone: (239) 349-2500
Fax: (239) 349-2501
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 9102277 | Florida |
Profile Details
NPI number | 1871545046 |
---|---|
LBN Legal business name | Mccollaum, Marc Edwin |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2006 |
Last updated | Dec 13th, 2016 - about 8 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 | 1871545046 | NPPES |
Florida | Other | Y08XG | BCBS |
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