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Contact Information

HENRY COLBERT
1 ST. ST. VINCENT DRIVE
SAN RAFAEL, CA94903
 Phone: 707-326-5258
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Practitioner

225400000X
 

Community Health Worker

172V00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for HENRY COLBERT · (Male)

NPI # 1033572771
Status Active
Credentials
Entity Individual
Enumeration date 03/31/2016
Last updated 01/30/2018 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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