Collinsworth, Horace Jay

Collinsworth, Horace Jay is an individual health care provider with primary practice located at 8415 Goodwood Blvd Suite 100, Baton Rouge LA 70806-7851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Collinsworth, Horace Jay can be contacted via phone (225) 765-5633.

Contact Information

Primary practice address
8415 Goodwood Blvd Suite 100 Baton Rouge LA 70806-7851
Phone: (225) 765-5633
Fax: (225) 765-5634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 016171 Louisiana

Profile Details

NPI number 1033118443
LBN Legal business name Collinsworth, Horace Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Feb 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033118443 NPPES
Louisiana MEDICAID 1336262

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