Mccollum, Charlotte

Mccollum, Charlotte is an sole proprietor health care provider with primary practice located at 635 Tundra Dr , Harker Heights TX 76548-2586. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Licensed Vocational Nurse. Nursing Service Providers / Licensed Vocational Nurse is her primary health care specialty. Mccollum, Charlotte can be contacted via phone (904) 565-6035.

Contact Information

Primary practice address
635 Tundra Dr Harker Heights TX 76548-2586
Phone: (904) 565-6035
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 5195601 Florida
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 337622 Texas

Profile Details

NPI number 1861964652
LBN Legal business name Mccollum, Charlotte
Credentials LVN,LPN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2018
Last updated Dec 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861964652 NPPES
Florida Other 5195601 STATE OF FL DEPT. OF HEALTH
Florida Other 337622 STATE OF FL DEPT. OF HEALTH

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