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
Fax: (325) 947-3019
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336157569 NPPES
Texas Other 8G7000 BLUECROSS/BLUE SHIELD

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