Provider Demographics
NPI:1205014966
Name:TROMBLEY, COLLEEN ROWLINS (DC)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:ROWLINS
Last Name:TROMBLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 S WASHINGTON ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-6418
Mailing Address - Country:US
Mailing Address - Phone:248-628-4886
Mailing Address - Fax:248-628-5341
Practice Address - Street 1:51 S WASHINGTON ST
Practice Address - Street 2:SUITE D
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-6418
Practice Address - Country:US
Practice Address - Phone:248-628-4886
Practice Address - Fax:248-628-5341
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MICT007076111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0M10500Medicare PIN