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
Phone: (516) 338-8802
Fax: (516) 338-4043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N005450 | New York |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | N005450 | New York |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | N005450 | New York |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | N005450 | New York |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | N005450 | New York |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578564894 | NPPES |
| New York | MEDICAID | 01882686 | |
| New York | Other | PA5491 |
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