NPI
Jacob Douglas Collins
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- DO
- Type
- Individual
- Enumeration date
- 2020-04-25
- Last updated
- 2023-08-07
Specialties
Licenses
- License MN
- 74134
Location
- Practice location
- 4300 Market Pte Dr Ste 100
- City
- Bloomington MN
- Postal code
- 55435-5435
- Phone
- (612) 209-5115
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Bloomington, MN. 4,120 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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