Provider Demographics
NPI:1154571313
Name:TOBE-DONOHUE, COLLEEN E (DO)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:E
Last Name:TOBE-DONOHUE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 KENTUCKY AVE STE 113
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1813
Mailing Address - Country:US
Mailing Address - Phone:205-971-1515
Mailing Address - Fax:
Practice Address - Street 1:1919 KENTUCKY AVE STE 113
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1813
Practice Address - Country:US
Practice Address - Phone:205-971-1515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALL.2981207Q00000X
ALMD.30572207Q00000X
ALDO1207207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine