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NPI Code Detail

MEDICARE: MR. HENRY ALEXANDER COLLIER

MEDICARE: MR. HENRY ALEXANDER COLLIER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker25374CA

General Provider Information

NPI Number : 1902073026
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HENRY ALEXANDER COLLIER
Provider Business Mailing Address
First Line : 5240 JACKSON ST
Second Line :
City : NORTH HIGHLANDS
State : CA
Zip : 95660-5003
Country : US
Telephone Number : 916-338-1001
Fax Number : 916-338-1044
Provider Business Practice Location Address
First Line : 5240 JACKSON ST
Second Line :
City : NORTH HIGHLANDS
State : CA
Zip : 95660-5003
Country : US
Telephone Number : 916-338-1001
Fax Number : 916-338-1044
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2008
Last Update Date : 01/03/2022

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