Fuqua, Collin Andrew

Fuqua, Collin Andrew is an individual health care provider with primary practice located at 921 S 8Th Ave Stop 8253 , Pocatello ID 83209-0002. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Fuqua, Collin Andrew can be contacted via phone (208) 282-4726.

Contact Information

Primary practice address
921 S 8Th Ave Stop 8253 Pocatello ID 83209-0002
Phone: (208) 282-4726
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1225768252
LBN Legal business name Fuqua, Collin Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2022
Last updated Apr 3rd, 2024 - about last year

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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