Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH00034406 | WA |
NPI | 1013028539 |
---|---|
Provider Name | Dr. Robert F. Collins |
First Address | Cheney, WA 99004-1966 |
Second Address | Cheney, WA 99004-1966 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |