Mccollough, Andre
Mccollough, Andre is an individual health care provider with primary practice located at 4455 Edison Lakes Pkwy , Mishawaka IN 46545-1414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mccollough, Andre can be contacted via phone (574) 231-6134.Contact Information
Primary practice address
4455 Edison Lakes Pkwy
Mishawaka IN 46545-1414
Phone: (574) 231-6134
Fax: (574) 231-6845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01078115A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 281409 | New York |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 77876 | Georgia |
Profile Details
| NPI number | 1316294200 |
|---|---|
| LBN Legal business name | Mccollough, Andre |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2012 |
| Last updated | Jul 31st, 2026 - about 3 months 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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