Provider Demographics
NPI:1457341091
Name:KOLLARS, THOMAS T (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:T
Last Name:KOLLARS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LANDSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446
Mailing Address - Country:US
Mailing Address - Phone:860-326-6074
Mailing Address - Fax:
Practice Address - Street 1:49 BEACH ST # 10
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2739
Practice Address - Country:US
Practice Address - Phone:401-596-3493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003642L111N00000X
RIDCP00571111NN1001X
CT001713111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NR0400XChiropractic ProvidersChiropractorRehabilitation