Collier, Jim Wade
Collier, Jim Wade is an sole proprietor health care provider with primary practice located at 4241 Southwest Blvd Ste 106 , San Angelo TX 76904-5687. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Collier, Jim Wade can be contacted via phone (325) 947-2225.Contact Information
Primary practice address
4241 Southwest Blvd Ste 106
San Angelo TX 76904-5687
Phone: (325) 947-2225
Fax: (325) 947-3019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 8566 | Texas |
Profile Details
| NPI number | 1336157569 |
|---|---|
| LBN Legal business name | Collier, Jim Wade |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336157569 | NPPES |
| Texas | Other | 8G7000 | BLUECROSS/BLUE SHIELD |
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