Collinge, Neil
Collinge, Neil is an individual health care provider with primary practice located at 622 W Maple St Ste H , Farmington NM 87401-6589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Collinge, Neil can be contacted via phone (505) 326-6521.Contact Information
Primary practice address
622 W Maple St Ste H
Farmington NM 87401-6589
Phone: (505) 326-6521
Fax: (505) 325-6699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 2004-0498 | New Mexico |
Profile Details
| NPI number | 1912004904 |
|---|---|
| LBN Legal business name | Collinge, Neil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1912004904 | NPPES |
| New Mexico | MEDICAID | 74759876 | |
| New Mexico | MEDICAID | 915481 | |
| New Mexico | Other | P00158467 | |
| New Mexico | MEDICAID | T0298 | |
| New Mexico | MEDICAID | 55620221 |
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