Kolessar, David J.
Kolessar, David J. is an individual health care provider with primary practice located at 1175 East Moutain Blvd , Wilkes Barre PA 18711-7906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kolessar, David J. can be contacted via phone (570) 825-1093.Contact Information
Primary practice address
1175 East Moutain Blvd
Wilkes Barre PA 18711-7906
Phone: (570) 825-1093
Fax: (570) 826-7878
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD042073E | Pennsylvania |
Profile Details
NPI number | 1144280496 |
---|---|
LBN Legal business name | Kolessar, David J. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2006 |
Last updated | Aug 6th, 2020 - about 4 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 | 1144280496 | NPPES |
Pennsylvania | MEDICAID | 001462716 |
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