Provider Demographics
NPI:1346578176
Name:HOWARD, COLBY JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:COLBY
Middle Name:JOHN
Last Name:HOWARD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 S E ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN BOW
Mailing Address - State:NE
Mailing Address - Zip Code:68822-2529
Mailing Address - Country:US
Mailing Address - Phone:308-872-6225
Mailing Address - Fax:308-872-2331
Practice Address - Street 1:551 S E ST
Practice Address - Street 2:
Practice Address - City:BROKEN BOW
Practice Address - State:NE
Practice Address - Zip Code:68822-2529
Practice Address - Country:US
Practice Address - Phone:308-872-6225
Practice Address - Fax:308-872-2331
Is Sole Proprietor?:No
Enumeration Date:2009-12-07
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1599111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1002589100Medicaid
NE1002589100Medicaid
NENA1779Medicare PIN
NENA1485Medicare PIN