Mccollum, John Edwin

Mccollum, John Edwin is an individual health care provider with primary practice located at 1601 E Whiskey Run Rd Ne , New Salisbury IN 47161-9345. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Mccollum, John Edwin can be contacted via phone (812) 738-4251.

Contact Information

Primary practice address
1601 E Whiskey Run Rd Ne New Salisbury IN 47161-9345
Phone: (812) 738-4251
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 01032427 Indiana

Profile Details

NPI number 1750389318
LBN Legal business name Mccollum, John Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Dec 29th, 2020 - about 6 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 1750389318 NPPES
Other 000000042492 BLUE SHEILD
MEDICAID 100128370A BLUE SHEILD

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