Provider Demographics
NPI:1902287477
Name:JOHN CHRISTOPHER COLBY, MD PC
Entity Type:Organization
Organization Name:JOHN CHRISTOPHER COLBY, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURPIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-639-3540
Mailing Address - Street 1:2900 LAMB CIR STE 330
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-6341
Mailing Address - Country:US
Mailing Address - Phone:540-639-3540
Mailing Address - Fax:540-639-1845
Practice Address - Street 1:2900 LAMB CIR STE 330
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-6341
Practice Address - Country:US
Practice Address - Phone:540-639-3540
Practice Address - Fax:540-639-1845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-10
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236532174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA019415S25Medicare UPIN