Kollasch, Edward

Kollasch, Edward is an individual health care provider with primary practice located at 1160 Patterson Rd , Grand Junction CO 81506-8275. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kollasch, Edward can be contacted via phone (970) 244-2800.

Contact Information

Primary practice address
1160 Patterson Rd Grand Junction CO 81506-8275
Phone: (970) 244-2800
Fax: (970) 255-6291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 226 Colorado

Profile Details

NPI number 1902882897
LBN Legal business name Kollasch, Edward
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jun 18th, 2009 - about 16 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 1902882897 NPPES
Colorado MEDICAID 07002264

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