Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 20421 | NH |
N | 207V00000X | Obstetrician & Gynecologist | OS020009 | PA |
N | 207V00000X | Obstetrician & Gynecologist | OT016443 | PA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | RT-3608 | NH |
NPI | 1497134985 |
---|---|
Provider Name | Dr. Colby James Schrum |
First Address | Lebanon, NH 03756-0001 |
Second Address | Lebanon, NH 03756-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2015 |
Last Update Date | 07/07/2020 |