Individual
DR. JASON MICHAEL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
903 NW 9TH STREET, BENTONVILLE, AR 72712
(479) 254-9355
(479) 254-9360
Mailing address
903 NW 9TH STREET, BENTONVILLE, AR 72712
(479) 254-9355
(479) 254-9360
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1532
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7041184
PRUDENTIAL HEALTHCARE
AR
Enumeration date
02/03/2006
Last updated
08/06/2013
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