Collins, James David
Collins, James David is an sole proprietor health care provider with primary practice located at 1415 E Kincaid St , Mount Vernon WA 98274-4126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Collins, James David can be contacted via phone (360) 424-4111.Contact Information
Primary practice address
1415 E Kincaid St
Mount Vernon WA 98274-4126
Phone: (360) 424-4111
Fax: (360) 428-2457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD00046322 | Washington |
Profile Details
| NPI number | 1629005384 |
|---|---|
| LBN Legal business name | Collins, James David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2006 |
| Last updated | May 23rd, 2008 - about 18 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 | 1629005384 | NPPES |
| Washington | MEDICAID | 8463523 | |
| Washington | Other | 0218213 | |
| Washington | Other | 3076CO | |
| Washington | Other | 0215339 | |
| Washington | Other | 5979CO |
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