Doctor Name: | MS. JOAN MARIE COLLINS |
NPI Number: | 1053407171 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR CHT |
License Number: | 100327 |
Business Practice Address: | 7373 France Avenue South #509 Edina, MN - 55435 |
Business Phone Number: | 9528300069 |
Business Fax Number: | 6129251123 |
Mailing Address: | 7801 East Bush Lake Rd., #320 BLOOMINGTON |
State: | MN |
Postal Code: | 55439 |
Phone Number: | 9528315773 |
Fax Number: | 9528317224 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 100327 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |