Doctor Name: | WILLIAM JOSEPH COLLINS |
NPI Number: | 1720102312 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APRN |
License Number: | 209006516 |
Business Practice Address: | 3042 Plantation Dr Sellersburg, IN - 471729136 |
Business Phone Number: | 6067766309 |
Business Fax Number: | 6063630141 |
Mailing Address: | Po Box 4100, BARBOURSVILLE |
State: | WV |
Postal Code: | 255044100 |
Phone Number: | 6067766309 |
Fax Number: | 6067766309 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 209006516 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |