Koliopoulos, John S.
Koliopoulos, John S. is an sole proprietor health care provider with primary practice located at 1 Diamond Hill Rd , Berkeley Heights NJ 07922-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Koliopoulos, John S. can be contacted via phone (908) 277-8880.Contact Information
Primary practice address
1 Diamond Hill Rd
Berkeley Heights NJ 07922-2104
Phone: (908) 277-8880
Fax: (908) 277-8796
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MB60014 | New Jersey |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25MB06001400 | New Jersey |
Profile Details
NPI number | 1053353516 |
---|---|
LBN Legal business name | Koliopoulos, John S. |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 11th, 2006 |
Last updated | Oct 1st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053353516 | NPPES |
New Jersey | Other | 223586664 | TRICARE/CHAMPUS |
New Jersey | Other | 223586664 | TRICARE/CHAMPUS |
New Jersey | MEDICAID | 6880908 | TRICARE/CHAMPUS |
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