Provider Demographics
NPI:1578880357
Name:STAUBS, COLBY WESTON (DC)
Entity Type:Individual
Prefix:DR
First Name:COLBY
Middle Name:WESTON
Last Name:STAUBS
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 1:6514 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33707-1330
Mailing Address - Country:US
Mailing Address - Phone:727-519-3757
Mailing Address - Fax:727-369-8822
Practice Address - Street 1:6514 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-1330
Practice Address - Country:US
Practice Address - Phone:727-519-3757
Practice Address - Fax:727-369-8822
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9981111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPTAN DH192ZMedicare PIN