Kolosseus, Robert C
Kolosseus, Robert C is an individual health care provider with primary practice located at 2545 Don Roser Drive , Las Cruces NM 88011-9107. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kolosseus, Robert C can be contacted via phone (575) 522-7880.Contact Information
Primary practice address
2545 Don Roser Drive
Las Cruces NM 88011-9107
Phone: (575) 522-7880
Fax: (575) 522-7226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 99-237 | New Mexico |
Profile Details
| NPI number | 1285638536 |
|---|---|
| LBN Legal business name | Kolosseus, Robert C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jul 30th, 2012 - about 12 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 | 1285638536 | NPPES |
| New Mexico | MEDICAID | 02056372 |
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