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MITCHELL ALLEN COLLAR
NPI 1487207072
Student in an Organized Health Care Education/Training Program in Moscow, ID

Active since July 22, 2019
875 PERIMETER DR, MOSCOW, ID 83844(208) 885-6111 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mitchell Allen Collar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITCHELL ALLEN COLLAR (NPI 1487207072) is an individual student in an organized health care education/training program in Moscow, Idaho and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1487207072
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMITCHELL ALLEN COLLAR
Location Address875 PERIMETER DRMoscow, ID 83844-9803
Mailing Address254 Baker St Apt 4Moscow, ID 83843-3276 · (208) 503-2493
Phone(208) 885-6111
Sole ProprietorYes
Enumeration DateJuly 22, 2019
✔ NPI 1487207072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
875 PERIMETER DR, Moscow, ID 83844
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN KOPSHO
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111
NATSUMI KURIBAYASHI LAT, ATC
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-0256
LOGAN FREDERICK PRINS
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (816) 868-1839
VANESSA NICOLE PADILLA
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111
HUNTER AUGUSTUS CONNOLLEY
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111
BROOKE LOPEZ
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111
NASIHA IFTIAZ
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111
TAIYLER JADE SODERQUIST ATC, NREMT
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchell Collar's NPI number?

The NPI number for Mitchell Collar is 1487207072. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Mitchell Collar located?

Mitchell Collar practices at 875 Perimeter Dr, Moscow, ID 83844. The listed phone number is (208) 885-6111.

What is Mitchell Collar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mitchell Collar was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.