Kohlberg, Gavriel David

Kohlberg, Gavriel David is an sole proprietor health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-3722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Kohlberg, Gavriel David can be contacted via phone (206) 520-5000.

Contact Information

Primary practice address
1959 Ne Pacific St Seattle WA 98195-3722
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD60939547 Washington

Profile Details

NPI number 1376867929
LBN Legal business name Kohlberg, Gavriel David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2010
Last updated Aug 16th, 2019 - about 7 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 1376867929 NPPES
Washington MEDICAID 1376867929

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