Doctor Name: | NEAL W. COLLINS |
NPI Number: | 1457370363 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 158 |
Business Practice Address: | 98 State St Proctorville, OH - 456698163 |
Business Phone Number: | 7408869403 |
Business Fax Number: | 7404465153 |
Mailing Address: | 90 Jackson Pike, GALLIPOLIS |
State: | OH |
Postal Code: | 456311560 |
Phone Number: | 7404465763 |
Fax Number: | 7404465573 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 07/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 158 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |