CHRISTOPHER KOLOBOW NP-C LLC NPI 1992325815

NPI Information

NPI: 1992325815
Provider Name: CHRISTOPHER KOLOBOW, NP-C LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 13D2185601

Address:
6737B CODY ST
BONNERS FERRY, ID
ZIP 83805
Phone: (208) 267-2225
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CHRISTOPHER KOLOBOW, NP-C LLC is a primary care clinic center in Bonners Ferry, ID. CHRISTOPHER KOLOBOW, NP-C LLC NPI is 1992325815. The provider is registered as an organization entity type.

The provider's business location address is:

6737B CODY ST
BONNERS FERRY, ID
ZIP 83805-504
Phone: (208) 267-2225
Fax: (208) 267-2225

The provider's authorized official is Christopher Michael Kolobow .
The authorized official title is Business Owner & Nurse Practioner and has the following contact phone number (208) 267-2255.

The CLIA number assigned to this NPI record is 13D2185601 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2020 and was last updated on 4/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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