Mccollum, Michael E

Mccollum, Michael E is an individual health care provider with primary practice located at 5900 Lake Wright Dr , Norfolk VA 23502-1871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Mccollum, Michael E can be contacted via phone (757) 466-8683.

Contact Information

Primary practice address
5900 Lake Wright Dr Norfolk VA 23502-1871
Fax: (757) 466-0250
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 0101244096 Virginia

Profile Details

NPI number 1306815287
LBN Legal business name Mccollum, Michael E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Sep 19th, 2014 - about 10 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 1306815287 NPPES
Virginia MEDICAID 1306815287
Virginia Other 1306815287

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