Kolberg, John Joseph

Kolberg, John Joseph is an sole proprietor health care provider with primary practice located at 265 Post Ave Suite 220, Westbury NY 11590-2233. He recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Kolberg, John Joseph can be contacted via phone (516) 338-8802.

Contact Information

Primary practice address
265 Post Ave Suite 220 Westbury NY 11590-2233
Fax: (516) 338-4043
Website:

Profile Details

NPI number 1578564894
LBN Legal business name Kolberg, John Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Jan 17th, 2013 - 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 1578564894 NPPES
New York MEDICAID 01882686
New York Other PA5491

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