Individual
CHESTER A COLLINS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
108 SISKIYOU AVE, MOUNT SHASTA, CA 96067-2540
(530) 926-1731
Mailing address
2205 HILLTOP DR, #15, REDDING, CA 96002-0511
(530) 365-4369
(530) 365-4617
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC25228
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0252280
BLUE SHIELD
CA
Enumeration date
11/11/2005
Last updated
07/08/2007
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