Colosimo, Angelo J

Colosimo, Angelo J is an individual health care provider with primary practice located at 2900 Chancellor Dr Ste 102 , Crestview Hills KY 41017-5427. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Colosimo, Angelo J can be contacted via phone (513) 354-3700.

Contact Information

Primary practice address
2900 Chancellor Dr Ste 102 Crestview Hills KY 41017-5427
Phone: (513) 354-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35061897C Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 35061897C Ohio

Profile Details

NPI number 1881642734
LBN Legal business name Colosimo, Angelo J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Apr 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881642734 NPPES
Indiana MEDICAID 100376980
Indiana Other 200015030
Indiana MEDICAID 082590
Indiana MEDICAID 64868045

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