Mccollaum, Marc Edwin

Mccollaum, Marc Edwin is an individual health care provider with primary practice located at 11725 Collier Blvd H , Naples FL 34116-6524. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mccollaum, Marc Edwin can be contacted via phone (239) 349-2500.

Contact Information

Primary practice address
11725 Collier Blvd H Naples FL 34116-6524
Phone: (239) 349-2500
Fax: (239) 349-2501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9102277 Florida

Profile Details

NPI number 1871545046
LBN Legal business name Mccollaum, Marc Edwin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Dec 13th, 2016 - about 10 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 1871545046 NPPES
Florida Other Y08XG BCBS

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