Collins, Jeffrey David
Collins, Jeffrey David is an individual health care provider with primary practice located at 455 Maple St Ste 1 , Big Flats NY 14814-9702. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Collins, Jeffrey David can be contacted via phone (607) 562-8901.Contact Information
Primary practice address
455 Maple St Ste 1
Big Flats NY 14814-9702
Phone: (607) 562-8901
Fax: (607) 562-7443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 310334 | New York |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 310334 | New York |
Profile Details
| NPI number | 1821592122 |
|---|---|
| LBN Legal business name | Collins, Jeffrey David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2018 |
| Last updated | May 25th, 2022 - about 4 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 | 1821592122 | NPPES |
| New York | MEDICAID | 06703231 |
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