Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.129684 | OH |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 35.129684 | OH |
N | 2081P2900X | Pain Medicine | 35.129684 | OH |
NPI | 1417218926 |
---|---|
Provider Name | Dr. Andrew Bernard Collins |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2012 |
Last Update Date | 15/03/2021 |