Provider Demographics
NPI:1437544103
Name:COLLINS, ALFRED II
Entity Type:Individual
Prefix:MR
First Name:ALFRED
Middle Name:
Last Name:COLLINS
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15005 COUNTY SEAT HWY
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-8299
Mailing Address - Country:US
Mailing Address - Phone:302-542-7010
Mailing Address - Fax:
Practice Address - Street 1:15005 COUNTY SEAT HWY
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-8299
Practice Address - Country:US
Practice Address - Phone:302-542-7010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELS-0012497164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse