Provider Demographics
NPI:1427486372
Name:COLLINS, JANDY MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:JANDY
Middle Name:MARIE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1837 IRON POINT RD STE 140
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-8781
Mailing Address - Country:US
Mailing Address - Phone:916-983-7771
Mailing Address - Fax:916-983-7996
Practice Address - Street 1:1837 IRON POINT RD STE 140
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-8781
Practice Address - Country:US
Practice Address - Phone:916-983-7771
Practice Address - Fax:916-983-7996
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-30
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32703111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA119916Medicare UPIN