Koller, Nathan W

Koller, Nathan W is an individual health care provider with primary practice located at 500 Upper Chesapeake Dr , Bel Air MD 21014-4324. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Koller, Nathan W can be contacted via phone (443) 643-1500.

Contact Information

Primary practice address
500 Upper Chesapeake Dr Bel Air MD 21014-4324
Phone: (443) 643-1500
Fax: (443) 643-1505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0004217 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA064644 Pennsylvania

Profile Details

NPI number 1497060727
LBN Legal business name Koller, Nathan W
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2010
Last updated Mar 13th, 2024 - about last year

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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