Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC003642L | PA |
N | 111NN1001X | Nutrition | DCP00571 | RI |
N | 111NR0400X | Rehabilitation Chiropractor | 001713 | CT |
NPI | 1457341091 |
---|---|
Provider Name | Dr. Thomas T Kollars |
First Address | Landsdale, PA 19446 |
Second Address | Westerly, RI 02891-2739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2005 |
Last Update Date | 02/11/2015 |