Colberg, John W

Colberg, John W is an individual health care provider with primary practice located at 800 Howard Ave Yale Physicians Building 3Rd Floor, New Haven CT 06519-1369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Colberg, John W can be contacted via phone (203) 785-2815.

Contact Information

Primary practice address
800 Howard Ave Yale Physicians Building 3Rd Floor New Haven CT 06519-1369
Phone: (203) 785-2815
Fax: (203) 785-4043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036647 Connecticut

Profile Details

NPI number 1053396341
LBN Legal business name Colberg, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jun 25th, 2008 - about 18 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 1053396341 NPPES
Connecticut MEDICAID 001366477

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