Collins, Mark Alan
Collins, Mark Alan is an individual health care provider with primary practice located at 1000 E Main St , Danville IN 46122-1948. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Collins, Mark Alan can be contacted via phone (317) 745-4451.Contact Information
Primary practice address
1000 E Main St
Danville IN 46122-1948
Phone: (317) 745-4451
Fax: (317) 718-6740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 11014460A | Indiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01067068 | Indiana |
Profile Details
| NPI number | 1306008321 |
|---|---|
| LBN Legal business name | Collins, Mark Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2008 |
| Last updated | Mar 31st, 2021 - about 5 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 | 1306008321 | NPPES |
| Indiana | MEDICAID | 201016010 |
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