Provider Demographics
NPI:1295220184
Name:COLLINS, BRETT (PA-C)
Entity Type:Individual
Prefix:MR
First Name:BRETT
Middle Name:
Last Name:COLLINS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 VILLA VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-8786
Mailing Address - Country:US
Mailing Address - Phone:717-476-8654
Mailing Address - Fax:
Practice Address - Street 1:1600 6TH AVE STE 105
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-2626
Practice Address - Country:US
Practice Address - Phone:717-849-5576
Practice Address - Fax:717-718-9972
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical