Kolessar, David J.

Kolessar, David J. is an individual health care provider with primary practice located at 1175 East Moutain Blvd , Wilkes Barre PA 18711-7906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kolessar, David J. can be contacted via phone (570) 825-1093.

Contact Information

Primary practice address
1175 East Moutain Blvd Wilkes Barre PA 18711-7906
Phone: (570) 825-1093
Fax: (570) 826-7878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD042073E Pennsylvania

Profile Details

NPI number 1144280496
LBN Legal business name Kolessar, David J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 6th, 2020 - about 6 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 1144280496 NPPES
Pennsylvania MEDICAID 001462716

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