Kolm, Lukas R
Kolm, Lukas R is an individual health care provider with primary practice located at 789 Central Ave Wentworth Douglass Hospital, Dover NH 03820-2526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kolm, Lukas R can be contacted via phone (603) 498-9634.Contact Information
Primary practice address
789 Central Ave Wentworth Douglass Hospital
Dover NH 03820-2526
Phone: (603) 498-9634
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 210087 | Massachusetts |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 11324 | New Hampshire |
Profile Details
| NPI number | 1548207558 |
|---|---|
| LBN Legal business name | Kolm, Lukas R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Oct 20th, 2009 - about 17 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 | 1548207558 | NPPES |
| New Hampshire | MEDICAID | 30201580 | |
| New Hampshire | Other | 01Y003235NH01 | |
| New Hampshire | Other | 930108812 | |
| New Hampshire | MEDICAID | 110003415A |
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