Kolker, James David

Kolker, James David is an individual health care provider with primary practice located at 3400 Spruce St , Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Kolker, James David can be contacted via phone (215) 662-2428.

Contact Information

Primary practice address
3400 Spruce St Philadelphia PA 19104
Phone: (215) 662-2428
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X K0873 Texas
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD438043 Pennsylvania

Profile Details

NPI number 1568433373
LBN Legal business name Kolker, James David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Nov 28th, 2011 - about 14 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 1568433373 NPPES
Texas Other 87Z840 BCBS
Texas Other 920002341 BCBS
Texas MEDICAID 046249101 BCBS
Texas Other 0005265289 BCBS

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