Kolasch, Craig Donald
Kolasch, Craig Donald is an individual health care provider with primary practice located at 325 Hawthorne Ln Ste 100 , Charlotte NC 28204-2536. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kolasch, Craig Donald can be contacted via phone (704) 316-7760.Contact Information
Primary practice address
325 Hawthorne Ln Ste 100
Charlotte NC 28204-2536
Phone: (704) 316-7760
Fax: (704) 316-7761
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obesity Medicine | 207RB0002X | 2012-01414 | North Carolina |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD428098 | Pennsylvania |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2012-01414 | North Carolina |
Profile Details
NPI number | 1992871693 |
---|---|
LBN Legal business name | Kolasch, Craig Donald |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 27th, 2006 |
Last updated | Feb 21st, 2024 - about 10 months 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 | 1992871693 | NPPES |
North Carolina | MEDICAID | 5921090 | |
North Carolina | MEDICAID | NC1647 |
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