Mccollum, Amber Shields
Mccollum, Amber Shields is an individual health care provider with primary practice located at 1024 S Lemay Ave , Fort Collins CO 80524-3929. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Mccollum, Amber Shields can be contacted via phone (970) 495-7000.Contact Information
Primary practice address
1024 S Lemay Ave
Fort Collins CO 80524-3929
Phone: (970) 495-7000
Fax: (303) 306-7753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2006-0373 | New Mexico |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DR.0049630 | Colorado |
Profile Details
| NPI number | 1255470266 |
|---|---|
| LBN Legal business name | Mccollum, Amber Shields |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Nov 19th, 2015 - about 9 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 | 1255470266 | NPPES |
| Colorado | MEDICAID | 08031886 |
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