Individual
ANTHONY SCOTT COLLIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4710 CHIMNEY DR STE H, CHARLESTON, WV 25302-4841
(304) 965-2458
(304) 965-2258
Mailing address
4710 CHIMNEY DR STE H, CHARLESTON, WV 25302-4841
(304) 965-2458
(304) 965-2258
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
752
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001722786
BC/BS
WV
01
—
1042963
CIGNA
—
01
—
1059093
BRICKSTREET
WV
01
—
149986
CARELINK
—
05
—
2204007-001
—
WV
01
—
7853274
AETNA
—
Enumeration date
09/15/2006
Last updated
06/03/2014
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