Provider Demographics
NPI:1023814696
Name:COLBRUNN, JONANCY
Entity type:Individual
Prefix:
First Name:JONANCY
Middle Name:
Last Name:COLBRUNN
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 1:2247 WEYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:HINCKLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44233-9796
Mailing Address - Country:US
Mailing Address - Phone:330-591-1169
Mailing Address - Fax:
Practice Address - Street 1:2247 WEYMOUTH RD
Practice Address - Street 2:
Practice Address - City:HINCKLEY
Practice Address - State:OH
Practice Address - Zip Code:44233-9796
Practice Address - Country:US
Practice Address - Phone:330-591-1169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver