Collins, Jonathan C

Collins, Jonathan C is an individual health care provider with primary practice located at 206 Centre South Blvd , Aiken SC 29803-6319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Collins, Jonathan C can be contacted via phone (803) 642-9204.

Contact Information

Primary practice address
206 Centre South Blvd Aiken SC 29803-6319
Fax: (803) 648-3633
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 11083 South Carolina

Profile Details

NPI number 1053383000
LBN Legal business name Collins, Jonathan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053383000 NPPES
South Carolina MEDICAID 110837

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