Collins, Timothy Ervin

Collins, Timothy Ervin is an individual health care provider with primary practice located at 616 Campus Drive Ste 100, Abingdon VA 24210. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Collins, Timothy Ervin can be contacted via phone (276) 619-5020.

Contact Information

Primary practice address
616 Campus Drive Ste 100 Abingdon VA 24210
Phone: (276) 619-5020
Fax: (276) 619-5100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401007964 Virginia

Profile Details

NPI number 1467476986
LBN Legal business name Collins, Timothy Ervin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Dec 26th, 2019 - about 7 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 1467476986 NPPES
Other 1321074 UNITED CONCORDIA
Other 267057 UNITED CONCORDIA
MEDICAID 008200041 UNITED CONCORDIA

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