Cossack, Matthew
Cossack, Matthew is an individual health care provider with primary practice located at 401 Phalen Blvd , Saint Paul MN 55130-5302. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Cossack, Matthew can be contacted via phone (651) 254-7500.Contact Information
Primary practice address
401 Phalen Blvd
Saint Paul MN 55130-5302
Phone: (651) 254-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 7191 | Nebraska |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 2015017084 | Missouri |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 69145 | Wisconsin |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 63750 | Minnesota |
Profile Details
| NPI number | 1275948275 |
|---|---|
| LBN Legal business name | Cossack, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2014 |
| Last updated | Mar 13th, 2023 - about 2 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 | 1275948275 | NPPES |
| Missouri | Other | 2015017084 | MO LICENSE |
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