Collenborne, Charlie Ann

Collenborne, Charlie Ann is an individual health care provider with primary practice located at 90 Hope Dr Bldg 6000 , Mountain Home Afb ID 83648-1062. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Collenborne, Charlie Ann can be contacted via phone (208) 828-7281.

Contact Information

Primary practice address
90 Hope Dr Bldg 6000 Mountain Home Afb ID 83648-1062
Phone: (208) 828-7281
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 04-32778 Kansas

Profile Details

NPI number 1598945073
LBN Legal business name Collenborne, Charlie Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2007
Last updated Oct 3rd, 2018 - about 8 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.

Request for update

Popular Providers