Provider Demographics
NPI:1205987443
Name:COLLINS, JAMES C (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
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 1:570 ROAD 11 STE 1
Mailing Address - Street 2:
Mailing Address - City:SCHUYLER
Mailing Address - State:NE
Mailing Address - Zip Code:68661-6159
Mailing Address - Country:US
Mailing Address - Phone:402-352-5620
Mailing Address - Fax:402-352-5607
Practice Address - Street 1:570 ROAD 11 STE 1
Practice Address - Street 2:
Practice Address - City:SCHUYLER
Practice Address - State:NE
Practice Address - Zip Code:68661-6159
Practice Address - Country:US
Practice Address - Phone:402-352-5620
Practice Address - Fax:402-352-5607
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1138111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026675200Medicaid
NE20-0612733OtherFEDERAL EMPLOYEE I.D. NUM
NE350038081OtherRAILROAD MEDICARE NUMBER
NE36674OtherBLUE CROSS BLUE SHIELD