Collins, Theodore W

Collins, Theodore W is an individual health care provider with primary practice located at 135 E M35 , Gwinn MI 49841-9160. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Collins, Theodore W can be contacted via phone (906) 346-9275.

Contact Information

Primary practice address
135 E M35 Gwinn MI 49841-9160
Phone: (906) 346-9275
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0521005 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101015879 Michigan

Profile Details

NPI number 1801845904
LBN Legal business name Collins, Theodore W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jan 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801845904 NPPES
New Mexico MEDICAID 68704089
New Mexico MEDICAID 200974420A
New Mexico Other 614788800

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