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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528079324 NPPES
Minnesota MEDICAID 699153000

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