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Individual

WILLIAM JOSEPH COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
3042 PLANTATION DR, SELLERSBURG, IN 47172-9136
(606) 776-6309
(606) 363-0141
Mailing address
PO BOX 4100, BARBOURSVILLE, WV 25504-4100
(606) 776-6309
(606) 776-6309

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209006516
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3005507
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000056294
GROUP ANTHEM #
01
000000640353
ANTHEM PIN
KY
01
1063415297
MD GROUP NPI
01
1487872636
ARNP GROUP NPI #
01
2444451000
PASSPORT GROUP #
KY
01
50704000
MAGELLAN MIS GROUP #
01
6764
KY GROUP MEDICARE #
05
7100113670
KY
05
78903689
KY
01
CK2274
KY RR MEDICARE GROUP #
01
P00793789
RR MEDICARE
KY
Enumeration date
03/19/2007
Last updated
05/12/2016
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