Individual
JASON T. KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 WEST STATE STREET, EMERGENCY DEPARTMENT, ALLIANCE, OH 44601
(330) 596-6137
(330) 596-6130
Mailing address
200 WEST STATE STREET, EMERGENCY DEPARTMENT, ALLIANCE, OH 44601
(330) 596-6137
(330) 596-6130
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.082219
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2400208
—
OH
01
—
5619197341B2D
BLUECROSS BLUESHIELD
OH
Enumeration date
01/26/2006
Last updated
02/27/2025
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