Provider Demographics
NPI:1891858882
Name:COLLINS, DEAN ARTHUR (DC)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:ARTHUR
Last Name:COLLINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 N MORRIS ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-3969
Mailing Address - Country:US
Mailing Address - Phone:973-366-0646
Mailing Address - Fax:
Practice Address - Street 1:15 N MORRIS ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801-3969
Practice Address - Country:US
Practice Address - Phone:973-366-0646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00133500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJCO454051Medicare ID - Type Unspecified