Healthcare Provider Details

I. General information

NPI: 1114060878
Provider Name (Legal Business Name): MATTHEW EDWARD COLLINS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 RUTH ST N SUITE 205
SAINT PAUL MN
55119-4323
US

IV. Provider business mailing address

245 RUTH ST N STE 205
SAINT PAUL MN
55119-4377
US

V. Phone/Fax

Practice location:
  • Phone: 651-925-5530
  • Fax:
Mailing address:
  • Phone: 651-925-5530
  • Fax: 651-493-1980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3759
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number3759
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: