Provider Demographics
NPI:1659335248
Name:COLLINGS, VERONICA PATRICIA (DC)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:PATRICIA
Last Name:COLLINGS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1413 HIGHWAY 17 SOUTH
Mailing Address - Street 2:# 182
Mailing Address - City:SURFSIDE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29575-6040
Mailing Address - Country:US
Mailing Address - Phone:610-564-0861
Mailing Address - Fax:
Practice Address - Street 1:1012 16TH AVE N.W.
Practice Address - Street 2:STE 128
Practice Address - City:SURFSIDE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29575-5285
Practice Address - Country:US
Practice Address - Phone:610-564-0861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2679111N00000X
PADC-006355-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA791447OtherBC/BS
PA791447OtherBC/BS
PAU57564Medicare UPIN