Kolberg, Erik
Kolberg, Erik is an sole proprietor health care provider with primary practice located at 9663 Tierra Grande St Ste 201 , San Diego CA 92126-4570. He recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as his primary health care specialty. Kolberg, Erik can be contacted via phone (858) 695-2021.Contact Information
Primary practice address
9663 Tierra Grande St Ste 201
San Diego CA 92126-4570
Phone: (858) 695-2021
Fax: (858) 695-2712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Ocularist | 156FX1700X |
Profile Details
| NPI number | 1912404609 |
|---|---|
| LBN Legal business name | Kolberg, Erik |
| Credentials | BCO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2018 |
| Last updated | Apr 9th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912404609 | NPPES |
| California | MEDICAID | 1164466488 |
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