Colaric, Kenneth Bernard

Colaric, Kenneth Bernard is an individual health care provider with primary practice located at 7500 Mercy Rd Alegent Health Bergan Mercy Emergency Dept, Omaha NE 68124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Colaric, Kenneth Bernard can be contacted via phone (402) 398-6161.

Contact Information

Primary practice address
7500 Mercy Rd Alegent Health Bergan Mercy Emergency Dept Omaha NE 68124
Phone: (402) 398-6161
Fax: (402) 398-6982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20044 Nebraska

Profile Details

NPI number 1700836632
LBN Legal business name Colaric, Kenneth Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Aug 29th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700836632 NPPES
Tennessee MEDICAID Q038145
Tennessee MEDICAID 47064207113
Tennessee MEDICAID 5138503
Tennessee Other 002475
Tennessee Other P00216795

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