Stephanie W Collins
Neuromusculoskeletal Medicine (NMM)
96 Ocean St Ste 4
South Portland
, Maine 04106-2855
Stephanie W Collins
Neuromusculoskeletal Medicine (NMM)
96 Ocean St Ste 4
South Portland
, Maine 04106-2855
(888) 907-5762
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Stephanie W Collins
- 96 Ocean St Ste 4
- South Portland, ME
- Zip : 04106-2855
- Fax : (888) 907-5762
- Phone : (207) 747-4455
Second Address
- Stephanie W Collins
- 96 Ocean St Ste 4
- South Portland, ME
- Zip : 04106-2855
- Fax : (888) 907-5762
- Phone : (207) 747-4455
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DO1663 | ME |
National Provider Identifier
| NPI | 1073599791 |
|---|---|
| Provider Name | Stephanie W Collins |
| First Address | South Portland, ME 04106-2855 |
| Second Address | South Portland, ME 04106-2855 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/12/2005 |
| Last Update Date | 30/05/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 254890099 | (05) | ME |
| H45037 | (02) | ME |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.