Collins, E J
Collins, E J is an sole proprietor health care provider with primary practice located at 809 82Nd Pkwy , Myrtle Beach SC 29572-4607. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Collins, E J can be contacted via phone (843) 692-1595.Contact Information
Primary practice address
809 82Nd Pkwy
Myrtle Beach SC 29572-4607
Phone: (843) 692-1595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 162214 | North Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | South Carolina |
Profile Details
| NPI number | 1124026240 |
|---|---|
| LBN Legal business name | Collins, E J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Mar 29th, 2020 - about 6 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 | 1124026240 | NPPES |
| North Carolina | MEDICAID | 8051861 |
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