Colebank, Nathan Kenneth

Colebank, Nathan Kenneth is an individual health care provider with primary practice located at 20 N Montford Ave , Baltimore MD 21224-1050. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Colebank, Nathan Kenneth can be contacted via phone (814) 215-9047.

Contact Information

Primary practice address
20 N Montford Ave Baltimore MD 21224-1050
Phone: (814) 215-9047
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C08156 Maryland

Profile Details

NPI number 1548830854
LBN Legal business name Colebank, Nathan Kenneth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2021
Last updated Jan 4th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548830854 NPPES
Maryland Other C08156 STATE LICENSE
Maryland Other 1185755 STATE LICENSE

Popular Providers