Kolde, David A.

Kolde, David A. is an individual health care provider with primary practice located at 400 Hinckley Blvd , Jackson MI 49203-6152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kolde, David A. can be contacted via phone (517) 205-8991.

Contact Information

Primary practice address
400 Hinckley Blvd Jackson MI 49203-6152
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00041437 Washington

Profile Details

NPI number 1407852403
LBN Legal business name Kolde, David A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Feb 23rd, 2021 - about 3 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 1407852403 NPPES
Washington MEDICAID 1407852403
Washington Other P01410335

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