Shaw, Collie Blevins

Shaw, Collie Blevins is an individual health care provider with primary practice located at 2200 Ada Ave Suite 202, Conway AR 72034-4985. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Shaw, Collie Blevins can be contacted via phone (501) 327-3929.

Contact Information

Primary practice address
2200 Ada Ave Suite 202 Conway AR 72034-4985
Phone: (501) 327-3929
Fax: (501) 329-3816
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X C7970 Arkansas

Profile Details

NPI number 1598763641
LBN Legal business name Shaw, Collie Blevins
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 10th, 2007 - about 17 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 1598763641 NPPES
Arkansas MEDICAID 127214001

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