Kolb, David A

Kolb, David A is an individual health care provider with primary practice located at 83 Herrick St Ste 1001 Womens Health Building, Beverly MA 01915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kolb, David A can be contacted via phone (978) 921-1900.

Contact Information

Primary practice address
83 Herrick St Ste 1001 Womens Health Building Beverly MA 01915
Phone: (978) 921-1900
Fax: (978) 921-6694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 54179 Massachusetts

Profile Details

NPI number 1104882695
LBN Legal business name Kolb, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Jul 8th, 2007 - about 18 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 1104882695 NPPES
Massachusetts Other 600646 TUFTS
Massachusetts MEDICAID 9763279 TUFTS
Massachusetts Other M15209 TUFTS

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