Provider Demographics
NPI:1912110560
Name:KOLLARS, ESTHER H (DC)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:H
Last Name:KOLLARS
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 1:49 BEACH ST STE 10
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2739
Mailing Address - Country:US
Mailing Address - Phone:401-596-3493
Mailing Address - Fax:
Practice Address - Street 1:49 BEACH ST STE 10
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2739
Practice Address - Country:US
Practice Address - Phone:401-596-3493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003641L111N00000X
RIDCP00568111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No111N00000XChiropractic ProvidersChiropractor