Kolb, Edward H.

Kolb, Edward H. is an individual health care provider with primary practice located at 3101 Fields South Dr , Champaign IL 61822-3743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kolb, Edward H. can be contacted via phone (217) 366-1237.

Contact Information

Primary practice address
3101 Fields South Dr Champaign IL 61822-3743
Phone: (217) 366-1237
Fax: (217) 366-7491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-108279 Illinois

Profile Details

NPI number 1538168786
LBN Legal business name Kolb, Edward H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jan 5th, 2022 - about 2 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 1538168786 NPPES
Illinois MEDICAID 0361082791

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