Kolasa, Mark W
Kolasa, Mark W is an individual health care provider with primary practice located at 60 High St , Lewiston ME 04240-7616. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Kolasa, Mark W can be contacted via phone (207) 753-3900.Contact Information
Primary practice address
60 High St
Lewiston ME 04240-7616
Phone: (207) 753-3900
Fax: (207) 753-3902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD21491 | Maine |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | MD21491 | Maine |
Profile Details
| NPI number | 1528079324 |
|---|---|
| LBN Legal business name | Kolasa, Mark W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Nov 13th, 2017 - about 7 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 | 1528079324 | NPPES |
| Minnesota | MEDICAID | 699153000 |
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