Basic Information
| Provider Information | |||||||||
| NPI: | 1518497395 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZELINSKY | ||||||||
| FirstName: | COLLIN | ||||||||
| MiddleName: | F | ||||||||
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| Credential: | PAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1599 | ||||||||
| Address2: | |||||||||
| City: | BANGOR | ||||||||
| State: | ME | ||||||||
| PostalCode: | 044021599 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2074048200 | ||||||||
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| Practice Location | |||||||||
| Address1: | 775 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | WINTERPORT | ||||||||
| State: | ME | ||||||||
| PostalCode: | 044963414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2072230965 | ||||||||
| FaxNumber: | 2072230975 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2017 | ||||||||
| LastUpdateDate: | 07/11/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | PA1943 | ME | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.