Individual
NEAL W. COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5387
(740) 446-5153
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5763
(740) 446-5573
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50000806
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000181957
UNISON MEDICAID
OH
05
—
0106595
—
OH
01
—
310917085100
CARESOURCE MEDICAID
OH
01
—
970003254
RR MEDICARE
—
Enumeration date
07/19/2006
Last updated
01/21/2021
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