Josephine F Collaco Md Llc

LBN: Josephine F Collaco Md Llc
Josephine F Collaco Md Llc is an health care organization with primary practice located at 1050 Isaac Streets Dr Suite 104, Oregon OH 43616-3291. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Josephine F Collaco Md Llc can be contacted via phone (419) 698-4642, or through Polo, Mike via phone (440) 234-8833.

Contact Information

Primary practice address
1050 Isaac Streets Dr Suite 104 Oregon OH 43616-3291
Phone: (419) 698-4642
Fax: (419) 698-8597
Website:
Map and Directions
Authorized official contact:
Name: Polo, Mike
Phone: (440) 234-8833

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35038665 Ohio

Profile Details

NPI number 1427316637
LBN Legal business name Josephine F Collaco Md Llc
DBA Doing business as
Authorized official Polo, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2012
Last updated Apr 25th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427316637 NPPES
Ohio Other 000000162663 ANTHEM BLUE CROSS BLUE SHIELD

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