Provider Demographics
NPI:1013451624
Name:DR. JAMES C. COLLINS, CHIROPRACTOR, P.C.
Entity Type:Organization
Organization Name:DR. JAMES C. COLLINS, CHIROPRACTOR, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-352-3399
Mailing Address - Street 1:410 W 16TH ST
Mailing Address - Street 2:
Mailing Address - City:SCHUYLER
Mailing Address - State:NE
Mailing Address - Zip Code:68661-1348
Mailing Address - Country:US
Mailing Address - Phone:402-352-3399
Mailing Address - Fax:402-352-3099
Practice Address - Street 1:410 W 16TH ST
Practice Address - Street 2:
Practice Address - City:SCHUYLER
Practice Address - State:NE
Practice Address - Zip Code:68661-1348
Practice Address - Country:US
Practice Address - Phone:402-352-3399
Practice Address - Fax:402-352-3099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1138111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
36674OtherBLUE CROSS/BLUE SHIELD
36674OtherBLUE CROSS/BLUE SHIELD
NE267913Medicare PIN