Provider Demographics
NPI:1316405293
Name:TROLL, COLLEEN (DC)
Entity Type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:
Last Name:TROLL
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 1:4370 CAMBERRY CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-3562
Mailing Address - Country:US
Mailing Address - Phone:614-596-1139
Mailing Address - Fax:
Practice Address - Street 1:4370 CAMBERRY CT
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-3562
Practice Address - Country:US
Practice Address - Phone:614-596-1139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-08
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-04841111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor