Healthcare Provider Details

I. General information

NPI: 1801953351
Provider Name (Legal Business Name): JAMES ALEXANDER COLLINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 REEVES STREET UNIT 1
HAWKESBURY NS
B9A2S1
CA

IV. Provider business mailing address

708 REEVES STREET UNIT 1
HAWKESBURY NS
B9A2S1
CA

V. Phone/Fax

Practice location:
  • Phone: 902-625-1452
  • Fax:
Mailing address:
  • Phone: 902-625-1452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number78900
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: