ELLIS MORGAN COLLINS M.D. NPI 1962647628

NPI Information

NPI: 1962647628
Provider Name: ELLIS MORGAN COLLINS, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
1301 E BROADWAY ST
FORREST CITY, AR
ZIP 72335
Phone: (870) 633-5761
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Ellis Morgan Collins, M.D. is a general practice in Forrest City, AR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Ellis Morgan Collins, M.D. NPI is 1962647628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1301 E BROADWAY ST
FORREST CITY, AR
ZIP 72335-922
Phone: (870) 633-5761
Fax: (870) 633-5761

The enumeration date for this NPI number is 12/10/2008 and was last updated on 12/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	C-2851	ARKANSAS	No
2	208D00000X	General Practice		C-2851	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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