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Contact Information

BROOKE MCCOLLUM, PA-C
8414 JACLYN ANN DRIVE
FLUSHING, MI48433
 Phone: 810-919-1683
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BROOKE MCCOLLUM · (Female)

NPI # 1306362678
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/18/2017
Last updated 07/18/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI Medicaid 1306362678
  • MI Other MI4989646 MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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