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Contact Information

GAYLORD COLLINS, CP
2495 SHREVEPORT HWY
BLD 2 RM 242
PINEVILLE, LA71306-9004
 Phone: 318-473-0010
 Fax: 318-483-5154
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for GAYLORD COLLINS · (Male)

NPI Number 1144473224
Status Active
Credentials CP
Entity Individual
Enumeration date 11/03/2008
Last updated 11/03/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • License # CP003397
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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