Allen, Colby Marshall

Allen, Colby Marshall is an individual health care provider with primary practice located at 611 Highway 74 S Suite 720, Peachtree City GA 30269-3081. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Allen, Colby Marshall can be contacted via phone (770) 632-6800.

Contact Information

Primary practice address
611 Highway 74 S Suite 720 Peachtree City GA 30269-3081
Phone: (770) 632-6800
Fax: (770) 632-6060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05008605A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 004774 Kentucky
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT009829 Georgia

Profile Details

NPI number 1558442087
LBN Legal business name Allen, Colby Marshall
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Nov 13th, 2009 - about 16 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 1558442087 NPPES
Indiana Other 000000064465 BCBS
Indiana MEDICAID 200816690 BCBS

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