Collard, Dorcas Eileen
Collard, Dorcas Eileen is an sole proprietor health care provider with primary practice located at 84 Broad St , Glens Falls NY 12801-4381. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Collard, Dorcas Eileen can be contacted via phone (518) 798-0528.Contact Information
Primary practice address
84 Broad St
Glens Falls NY 12801-4381
Phone: (518) 798-0528
Fax: (518) 798-9576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F380604-1 | New York |
Profile Details
| NPI number | 1326170200 |
|---|---|
| LBN Legal business name | Collard, Dorcas Eileen |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Nov 16th, 2011 - about 15 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 | 1326170200 | NPPES |
| New York | MEDICAID | 03144314 |
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