Logan Ray Collins, DC | |
2420 E Midway Blvd Unit E, Denver, CO 80234-7009 | |
(303) 990-5029 | |
Not Available |
Full Name | Logan Ray Collins |
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Gender | Male |
Speciality | Chiropractor |
Location | 2420 E Midway Blvd Unit E, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134835135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 16377 (Arkansas) | Secondary |
111N00000X | Chiropractor | CHR.0008735 (Colorado) | Primary |
Provider Name | Collins Chiropractic Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730499229 PECOS PAC ID: 4789877515 Enrollment ID: O20101025000651 |
Mailing Address | Practice Location Address |
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Logan Ray Collins, DC 2420 E Midway Blvd Unit E, Denver, CO 80234-7009 Ph: (303) 990-5029 | Logan Ray Collins, DC 2420 E Midway Blvd Unit E, Denver, CO 80234-7009 Ph: (303) 990-5029 |
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