Kolcun, Michael G

Kolcun, Michael G is an sole proprietor health care provider with primary practice located at 2555 Jimmy Johnson Blvd , Port Arthur TX 77640-2007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kolcun, Michael G can be contacted via phone (409) 724-7389.

Contact Information

Primary practice address
2555 Jimmy Johnson Blvd Port Arthur TX 77640-2007
Phone: (409) 724-7389
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G0453 Texas

Profile Details

NPI number 1124078498
LBN Legal business name Kolcun, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Jul 11th, 2011 - about 14 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 1124078498 NPPES
Texas Other 8R9681 BLUE CROSS BLUE SHIELD
Texas MEDICAID 140206731 BLUE CROSS BLUE SHIELD

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