Provider Demographics
NPI:1518326339
Name:COLIBRY LLC
Entity Type:Organization
Organization Name:COLIBRY LLC
Other - Org Name:NATURE CURES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OLEG
Authorized Official - Middle Name:
Authorized Official - Last Name:NIKISHIN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:215-687-0898
Mailing Address - Street 1:PO BOX 1666
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-0259
Mailing Address - Country:US
Mailing Address - Phone:215-687-0898
Mailing Address - Fax:215-343-5686
Practice Address - Street 1:2196 JUNEBERRY CT
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-1970
Practice Address - Country:US
Practice Address - Phone:215-687-0898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center