Provider Demographics
NPI:1073845178
Name:COLLINS, MICHAEL K (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:K
Last Name:COLLINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 COLLEGE ST
Mailing Address - Street 2:STE 50
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-1532
Mailing Address - Country:US
Mailing Address - Phone:413-443-3577
Mailing Address - Fax:413-499-7852
Practice Address - Street 1:130 COLLEGE ST
Practice Address - Street 2:STE 50
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-1532
Practice Address - Country:US
Practice Address - Phone:413-443-3577
Practice Address - Fax:413-499-7852
Is Sole Proprietor?:No
Enumeration Date:2010-02-01
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3216111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor