Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35048117 | OH |
N | 208600000X | Surgeon | 35048117 | OH |
Y | 2086S0129X | Vascular Surgeon | 35-048117 | OH |
NPI | 1083691521 |
---|---|
Provider Name | Dr. Robert Henry Collins |
First Address | Chicago, IL 60677-1002 |
Second Address | Cincinnati, OH 45242-4400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2005 |
Last Update Date | 22/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000021293 | ANTHEM (01) | OH |
020034064 | RAILLROAD MEDICARE (01) | OH |
0643412 | AETNA (01) | OH |
297849 | AMERIGROUP (01) | OH |
743190 | BUCKEYE (01) | OH |
A15265 | (02) | OH |