| Dr Ethan B Colliver, DO | |
|
122 12th St, Princeton, WV 24740-2312 | |
| (304) 425-7127 | |
| (304) 487-7235 |
| Full Name | Dr Ethan B Colliver |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 22 Years |
| Location | 122 12th St, Princeton, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184803330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 0102202357 (Virginia) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 4641 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Princeton Community Hospital | Princeton, WV | Hospital |
| Carilion Medical Center | Roanoke, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Princeton Community Hospital Assn. Inc. | 3678482221 | 173 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan B Colliver, DO 122 12th St, Princeton, WV 24740-2312 Ph: (304) 425-7127 | Dr Ethan B Colliver, DO 122 12th St, Princeton, WV 24740-2312 Ph: (304) 425-7127 |
Dr. Robert Walker, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 120 12th Street Ext, Princeton, WV 24740 Phone: 304-487-8271 Fax: 304-487-5666 | |
Mr. Dulio W Guarnieri, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 153 Springhaven Dr, Princeton, WV 24740 Phone: 304-431-3010 Fax: 304-431-3011 | |
Mrs. Eva Nelson, LMT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1912 W Main St, Princeton, WV 24740 Phone: 304-887-9188 | |
Yuanhui Zhang, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 225 Kensington Ct, Princeton, WV 24740 Phone: 312-513-5339 Fax: 888-451-3795 |