Jodi Lynn Collins, LMT
Individual provider Active NPI Specialist · Newark, DE
NPI 1508005083 · NPPES record last updated Feb 6, 2009
Key facts
- NPI
- 1508005083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- MT-0002666 (DE)
- Practice address
- 202 N Bridlewood Dr
Newark, DE 19702-3418 - Phone
- (302) 299-8239
- NPI assigned
- Feb 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-0002666 | DE | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MT-0002666 | DE | Yes |
Addresses
Primary practice location
202 N Bridlewood Dr
Newark, DE 19702-3418
Mailing address
202 N Bridlewood Dr
Newark, DE 19702-3418
Phone (302) 299-8239
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.