Kolakovich, Thomas M

Kolakovich, Thomas M is an individual health care provider with primary practice located at 1506 Osolo Rd Suite A, Elkhart IN 46514-4122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kolakovich, Thomas M can be contacted via phone (574) 264-9635.

Contact Information

Primary practice address
1506 Osolo Rd Suite A Elkhart IN 46514-4122
Phone: (574) 264-9635
Fax: (574) 262-0398
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01032267A Indiana

Profile Details

NPI number 1326047036
LBN Legal business name Kolakovich, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Feb 11th, 2008 - about 17 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 1326047036 NPPES
Indiana Other 000000109324 ANTHEM BCBS #

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