Kolodzej, Robert Stephen
Kolodzej, Robert Stephen is an individual health care provider with primary practice located at 4 General Wing Rd , Rutland VT 05701-4682. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kolodzej, Robert Stephen can be contacted via phone (802) 775-0819.Contact Information
Primary practice address
4 General Wing Rd
Rutland VT 05701-4682
Phone: (802) 775-0819
Fax: (802) 775-1487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 769 | Vermont |
Profile Details
| NPI number | 1881629632 |
|---|---|
| LBN Legal business name | Kolodzej, Robert Stephen |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1881629632 | NPPES |
| Vermont | MEDICAID | 0002398 |
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