Provider Demographics
NPI:1962528729
Name:COLLINS, DAVID E (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:COLLINS
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 1:3443 PINE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-3926
Mailing Address - Country:US
Mailing Address - Phone:239-514-4004
Mailing Address - Fax:239-514-4044
Practice Address - Street 1:3443 PINE RIDGE RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-3926
Practice Address - Country:US
Practice Address - Phone:239-514-4004
Practice Address - Fax:239-514-4044
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55956OtherBCBS FL