Provider Demographics
NPI:1598061723
Name:COLBERT, SONIA C
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:C
Last Name:COLBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1752 COLUMBIA RD NW
Mailing Address - Street 2:2
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-8837
Mailing Address - Country:US
Mailing Address - Phone:202-808-2362
Mailing Address - Fax:202-808-2367
Practice Address - Street 1:1752 COLUMBIA RD NW
Practice Address - Street 2:2
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-8837
Practice Address - Country:US
Practice Address - Phone:202-808-2362
Practice Address - Fax:202-808-2367
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-05
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHSA-0033251C00000X, 251G00000X, 261QD1600X
261QD1600X, 372500000X, 376J00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251G00000XAgenciesHospice Care, Community Based
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No372500000XNursing Service Related ProvidersChore Provider
No376J00000XNursing Service Related ProvidersHomemaker