Provider Demographics
NPI:1205987617
Name:FRANK C. KOLLINS, D.C., S.C.
Entity type:Organization
Organization Name:FRANK C. KOLLINS, D.C., S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:KOLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-365-9636
Mailing Address - Street 1:1517 E HUEBBE PKWY
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-1795
Mailing Address - Country:US
Mailing Address - Phone:608-365-9636
Mailing Address - Fax:608-365-9642
Practice Address - Street 1:1517 E HUEBBE PKWY
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-1795
Practice Address - Country:US
Practice Address - Phone:608-365-9636
Practice Address - Fax:608-365-9642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1295-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
T62461Medicare UPIN
WI75427Medicare ID - Type Unspecified