Provider Demographics
NPI:1972975175
Name:COLLABORATIVE HEALTH PARTNERS, LLC
Entity Type:Organization
Organization Name:COLLABORATIVE HEALTH PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:EPPES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-382-1125
Mailing Address - Street 1:1111 CORPORATE PARK DR STE D
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-2279
Mailing Address - Country:US
Mailing Address - Phone:434-382-1125
Mailing Address - Fax:434-525-6738
Practice Address - Street 1:1111 CORPORATE PARK DR STE D
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-2279
Practice Address - Country:US
Practice Address - Phone:434-382-1125
Practice Address - Fax:434-525-6738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty