Kolesar, Carol
Kolesar, Carol is an individual health care provider with primary practice located at 5301 E Huron River Dr , Ypsilanti MI 48197-1051. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kolesar, Carol can be contacted via phone (734) 712-6573.Contact Information
Primary practice address
5301 E Huron River Dr
Ypsilanti MI 48197-1051
Phone: (734) 712-6573
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704159480 | Michigan |
Profile Details
| NPI number | 1710965165 |
|---|---|
| LBN Legal business name | Kolesar, Carol |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Nov 5th, 2010 - about 16 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 | 1710965165 | NPPES |
| Michigan | MEDICAID | 10-4489132 | |
| Michigan | MEDICAID | 10-4489123 | |
| Michigan | MEDICAID | 10-4489150 | |
| Michigan | MEDICAID | 10-4489114 | |
| Michigan | MEDICAID | 10-4489141 |
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