Sta. Ana, Enrique Collantes
Sta. Ana, Enrique Collantes is an sole proprietor health care provider with primary practice located at 1100 Hospital Dr , Hurricane WV 25526-8712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sta. Ana, Enrique Collantes can be contacted via phone (304) 757-8683.Contact Information
Primary practice address
1100 Hospital Dr
Hurricane WV 25526-8712
Phone: (304) 757-8683
Fax: (304) 757-8684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11628 | West Virginia |
Profile Details
| NPI number | 1295840593 |
|---|---|
| LBN Legal business name | Sta. Ana, Enrique Collantes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2006 |
| Last updated | May 29th, 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 | 1295840593 | NPPES |
| West Virginia | MEDICAID | 0056202000 | |
| West Virginia | Other | 000416134 | |
| West Virginia | Other | 550641245 |
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