Individual
CHARLES W COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
260 STETSON AVENUE, CINCINNATI, OH 45219
(513) 558-7700
(513) 558-0877
Mailing address
2830 VICTORY PARKWAY, CINCINNATI, OH 45206-1785
(513) 245-3617
(513) 475-7259
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35056481
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019176
MEDICARE RAILROAD
OH
05
—
0696804
—
OH
05
—
64937402
—
OH
Enumeration date
09/26/2006
Last updated
09/12/2012
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