Healthcare Provider Details

I. General information

NPI: 1609201441
Provider Name (Legal Business Name): COLONIAL ORTHOPAEDICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2013
Last Update Date: 09/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13000 RIVERS BEND BLVD STE E
CHESTER VA
23836-8632
US

IV. Provider business mailing address

13000 RIVERS BEND BLVD STE D
CHESTER VA
23836-8632
US

V. Phone/Fax

Practice location:
  • Phone: 804-571-5007
  • Fax: 804-667-2924
Mailing address:
  • Phone: 804-571-5000
  • Fax: 804-518-1314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DEE DEE ALVIS
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 804-571-5000