Kolarik, Russ Carl

Kolarik, Russ Carl is an individual health care provider with primary practice located at 701 Grove Rd Fl 5 , Greenville SC 29605-4210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Kolarik, Russ Carl can be contacted via phone (864) 455-4411.

Contact Information

Primary practice address
701 Grove Rd Fl 5 Greenville SC 29605-4210
Phone: (864) 455-4411
Fax: (864) 455-4480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30751 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30751 South Carolina

Profile Details

NPI number 1649244062
LBN Legal business name Kolarik, Russ Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Apr 26th, 2024 - about 2 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 1649244062 NPPES
South Carolina Other P00682405 RR MEDICARE
South Carolina MEDICAID 307518 RR MEDICARE

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