Mccollum, Alexis N.

Mccollum, Alexis N. is an sole proprietor health care provider with primary practice located at 3215 N North Hills Blvd Suite B, Fayetteville AR 72703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mccollum, Alexis N. can be contacted via phone (479) 463-5500.

Contact Information

Primary practice address
3215 N North Hills Blvd Suite B Fayetteville AR 72703
Fax: (479) 463-5542
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X E-7543 Arkansas

Profile Details

NPI number 1811160690
LBN Legal business name Mccollum, Alexis N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2008
Last updated Mar 8th, 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 1811160690 NPPES
Arkansas MEDICAID 196640001

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