Dr. Jared Yadon Kohlbacher
Foot Surgery
140 Academy St Ste 10
Presque Isle
, Maine 04769-3102
Dr. Jared Yadon Kohlbacher
Foot Surgery
140 Academy St Ste 10
Presque Isle
, Maine 04769-3102
(207) 768-8309
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Jared Yadon Kohlbacher
- 91 Moose Ridge Rd
- Mapleton, ME
- Zip : 04757-4156
- Phone : (207) 768-8309
Second Address
- Dr. Jared Yadon Kohlbacher
- 140 Academy St Ste 10
- Presque Isle, ME
- Zip : 04769-3102
- Phone : (207) 764-3734
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | POD1089 | ME |
National Provider Identifier
| NPI | 1386925055 |
|---|---|
| Provider Name | Dr. Jared Yadon Kohlbacher |
| First Address | Mapleton, ME 04757-4156 |
| Second Address | Presque Isle, ME 04769-3102 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2011 |
| Last Update Date | 25/08/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.