Isaac James Koloditch is a student in an organized health care education training program in Winston Salem, NC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Isaac James Koloditch NPI is 1174191399. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
475 VINE ST
WINSTON SALEM, NC
ZIP 27101-135
Phone: (941) 761-0409
The NPI 1174191399 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/14/2021 and was last updated on 6/14/2021.