Provider Demographics
NPI:1558678409
Name:FRANCIS, COLLIN ALEXANDER (MS, ATC, LAT)
Entity Type:Individual
Prefix:MR
First Name:COLLIN
Middle Name:ALEXANDER
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WINNING DR
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4776
Mailing Address - Country:US
Mailing Address - Phone:410-701-4000
Mailing Address - Fax:410-701-4103
Practice Address - Street 1:1 WINNING DR
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4776
Practice Address - Country:US
Practice Address - Phone:410-701-4000
Practice Address - Fax:410-701-4103
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
2000004498OtherBOARD OF CERTIFICATION
MD1015776OtherMARYLAND BOARD OF PHYSICIANS