JESSE TODD COLABINE PA-C NPI 1356693220

NPI Information

NPI: 1356693220
Provider Name: JESSE TODD COLABINE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
5176 CREEK RD
BEAVERTOWN, PA
ZIP 17813
Phone: (570) 898-6349
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Jesse Todd Colabine, PA-C is a medical physician assistant in Beavertown, PA. Jesse Todd Colabine, PA-C NPI is 1356693220. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5176 CREEK RD
BEAVERTOWN, PA
ZIP 17813-268
Phone: (570) 898-6349

The enumeration date for this NPI number is 10/3/2012 and was last updated on 10/3/2012.

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	363AM0700X	Physician Assistant	Medical	MA053457	PENNSYLVANIA	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

NPI Synchronization or Removal

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