Collins, Tracy M

Collins, Tracy M is an individual health care provider with primary practice located at 9100 Columbia Avenue , Munster IN 46321-2907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Collins, Tracy M can be contacted via phone (219) 836-5040.

Contact Information

Primary practice address
9100 Columbia Avenue Munster IN 46321-2907
Phone: (219) 836-5040
Fax: (219) 836-6835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01041366A Indiana

Profile Details

NPI number 1720088818
LBN Legal business name Collins, Tracy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated May 14th, 2010 - about 16 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 1720088818 NPPES
Indiana Other 000000081279 ANTHEM BCBS
Indiana MEDICAID 100096670 ANTHEM BCBS

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