Cosgrove, Malcolm David
Cosgrove, Malcolm David is an sole proprietor health care provider with primary practice located at 16311 Ventura Blvd Ste 1000, Encino CA 91436-2147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cosgrove, Malcolm David can be contacted via phone (818) 906-0635.Contact Information
Primary practice address
16311 Ventura Blvd Ste 1000
Encino CA 91436-2147
Phone: (818) 906-0635
Fax: (818) 906-7303
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | A25183 | California |
Profile Details
NPI number | 1609857309 |
---|---|
LBN Legal business name | Cosgrove, Malcolm David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 9th, 2005 |
Last updated | Feb 11th, 2009 - about 15 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 | 1609857309 | NPPES |
California | Other | P00647436 | RAILROAD MEDICARE PTAN |
California | MEDICAID | 00A251830 | RAILROAD MEDICARE PTAN |
California | Other | Z22046856Z | RAILROAD MEDICARE PTAN |
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