Mccollum, Sharon Jennene
Mccollum, Sharon Jennene is an sole proprietor health care provider with primary practice located at 3333 N Foster Maldonado Blvd , Eagle Pass TX 78852-5893. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mccollum, Sharon Jennene can be contacted via phone (830) 773-5321.Contact Information
Primary practice address
3333 N Foster Maldonado Blvd
Eagle Pass TX 78852-5893
Phone: (830) 773-5321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 108930 | Texas |
Profile Details
| NPI number | 1417136284 |
|---|---|
| LBN Legal business name | Mccollum, Sharon Jennene |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 30th, 2007 |
| Last updated | Oct 30th, 2007 - about 18 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 | 1417136284 | NPPES |
| Texas | Other | 108930 | O. T. LICENSE |
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