Coller, John A
Coller, John A is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Rd., Burlington MA 01805-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Coller, John A can be contacted via phone (781) 744-5100.Contact Information
Primary practice address
Lahey Clinic 41 Mall Rd.
Burlington MA 01805-0001
Phone: (781) 744-5100
Fax: (781) 744-2945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 34463 | Massachusetts |
Profile Details
| NPI number | 1316000748 |
|---|---|
| LBN Legal business name | Coller, John A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jan 8th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316000748 | NPPES |
| Massachusetts | MEDICAID | 6167004 |
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