MEDICARE: DR. RONALD KEVIN COLLINS DC DR CHIROPRACTIC

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
1	111N00000X	Chiropractor	683	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2029A	OTHER		BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1437203833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD KEVIN COLLINS DC DR CHIROPRACTIC

Provider Business Mailing Address
First Line	:	3906 GENERAL DEGAULLE DRIVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114
Country	:	US
Telephone Number	:	504-362-6000
Fax Number	:	504-362-6010

Provider Business Practice Location Address
First Line	:	3906 GENERAL DEGAULLE DRIVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114
Country	:	US
Telephone Number	:	504-362-6000
Fax Number	:	504-362-6010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	01/15/2014

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Directions to “ DR. RONALD KEVIN COLLINS DC DR CHIROPRACTIC” Practice Location

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