Individual
DR. JAY COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
21862 AL HWY 59, SUITE B, ROBERTSDALE, AL 36567-6711
(251) 424-1160
(251) 424-1161
Mailing address
21862 AL HWY 59, SUITE B, ROBERTSDALE, AL 36567-6711
(251) 424-1160
(251) 424-1161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036117984
IL
207Q00000X
Family Medicine Physician
Primary
DO1433
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036117984
IL STATE DO LICENSE #
IL
01
—
132466
HEALTH ALLIANCE
IL
01
—
799828
HEALTHLINK
IL
Enumeration date
04/26/2007
Last updated
02/09/2015
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