Kolb, Frederic Jerome

Kolb, Frederic Jerome is an individual health care provider with primary practice located at 200 W Arbor Dr # Mc8890 , San Diego CA 92103-1911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Kolb, Frederic Jerome can be contacted via phone (619) 543-6084.

Contact Information

Primary practice address
200 W Arbor Dr # Mc8890 San Diego CA 92103-1911
Phone: (619) 543-6084
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X SFP39 California

Profile Details

NPI number 1790341832
LBN Legal business name Kolb, Frederic Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2019
Last updated Oct 3rd, 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 1790341832 NPPES
California Other ZZZP3716Z MEDI-CAL
California Other 23-7064656 MEDI-CAL
California Other 95-6006144 MEDI-CAL

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