Mary C Collins
Individual provider Active NPI Chore Provider · Dewitt, MI
NPI 1194585752 · NPPES record last updated Mar 20, 2024
Key facts
- NPI
- 1194585752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chore Provider 372500000X
- Practice address
- 1081 Winding Brook Rd
Dewitt, MI 48820-8635 - Phone
- (517) 763-4473
- NPI assigned
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | Yes |
Addresses
Primary practice location
1081 Winding Brook Rd
Dewitt, MI 48820-8635
Mailing address
1081 Winding Brook Rd
Dewitt, MI 48820-8635
Phone (517) 763-4473
Other providers in Dewitt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.