Kolb, Garry R

Kolb, Garry R is an sole proprietor health care provider with primary practice located at 695 Morro Ave , Morro Bay CA 93442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kolb, Garry R can be contacted via phone (805) 772-2707.

Contact Information

Primary practice address
695 Morro Ave Morro Bay CA 93442
Fax: (805) 772-0624
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G27845 California

Profile Details

NPI number 1992813539
LBN Legal business name Kolb, Garry R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Feb 27th, 2014 - about 11 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 1992813539 NPPES
California MEDICAID 00G27845

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