| Collins Chiropractic & Diagnostics | |
|
903 Nw 9th St Bentonville AR 72712-4501 | |
| (479) 254-9355 | |
| (479) 254-9360 |
| Full Name | Collins Chiropractic & Diagnostics |
|---|---|
| Speciality | Clinic/Center |
| Location | 903 Nw 9th St, Bentonville, Arkansas |
| Authorized Official Name and Position | Jason Michael Collins (OWNER) |
| Authorized Official Contact | 4792549355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collins Chiropractic & Diagnostics 903 Nw 9th St Bentonville AR 72712-4501 Ph: (479) 254-9355 | Collins Chiropractic & Diagnostics 903 Nw 9th St Bentonville AR 72712-4501 Ph: (479) 254-9355 |
| NPI Number | 1588926091 |
|---|---|
| Provider Enumeration Date | 06/11/2012 |
| Last Update Date | 06/11/2012 |
| Medicare PECOS PAC ID | 3678729811 |
|---|---|
| Medicare Enrollment ID | O20120803000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588926091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1532 (Arkansas) | Primary |
| Provider Name | Jason M Collins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619949625 PECOS PAC ID: 4880765304 Enrollment ID: I20080611000232 |
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