Collier, Marlin Dwayne
Collier, Marlin Dwayne is an individual health care provider with primary practice located at 601 W Leota St , North Platte NE 69101-6525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Collier, Marlin Dwayne can be contacted via phone (308) 696-8740.Contact Information
Primary practice address
601 W Leota St
North Platte NE 69101-6525
Phone: (308) 696-8740
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 020978 | Georgia |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 28437 | Nebraska |
Profile Details
| NPI number | 1841350105 |
|---|---|
| LBN Legal business name | Collier, Marlin Dwayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2006 |
| Last updated | Mar 27th, 2015 - about 11 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 | 1841350105 | NPPES |
| Georgia | MEDICAID | 000183268B | |
| Georgia | MEDICAID | 000183268C |
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