Individual
NICHOLAS J COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 GEORGIA AVE, SUITE 16, BOGALUSA, LA 70427-3866
(985) 516-9483
(985) 732-3521
Mailing address
400 GEORGIA AVE, SUITE 16, BOGALUSA, LA 70427-3866
(985) 516-9483
(985) 732-3521
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
36196052K
LA
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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