Collins, Paul Calvin

Collins, Paul Calvin is an sole proprietor health care provider with primary practice located at 3875 E Overland Rd , Meridian ID 83642-9005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Collins, Paul Calvin can be contacted via phone (208) 287-0203.

Contact Information

Primary practice address
3875 E Overland Rd Meridian ID 83642-9005
Phone: (208) 287-0203
Fax: (208) 288-5490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X M4426 Idaho

Profile Details

NPI number 1568443158
LBN Legal business name Collins, Paul Calvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Jul 13th, 2013 - about 13 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 1568443158 NPPES
Idaho MEDICAID 002753900

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