Koella, John Eric

Koella, John Eric is an individual health care provider with primary practice located at 1315 Hospital Dr Northeastern Vt Regional Hospital, St Johnsbury VT 05819-9210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koella, John Eric can be contacted via phone (802) 748-8141.

Contact Information

Primary practice address
1315 Hospital Dr Northeastern Vt Regional Hospital St Johnsbury VT 05819-9210
Phone: (802) 748-8141
Fax: (802) 748-4098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200876 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042-0013372 Vermont

Profile Details

NPI number 1942275771
LBN Legal business name Koella, John Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Feb 25th, 2016 - about 9 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 1942275771 NPPES
New York Other 10020809 CDPHP
New York Other 000401661005 CDPHP
New York Other 040426007236 CDPHP
New York Other 000000042317 CDPHP
New York Other 9X3071 CDPHP
New York Other 958301 CDPHP
New York MEDICAID 01592667 CDPHP
New York Other 43790 CDPHP
New York Other 5968600 CDPHP

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