Kafozoff, Vesselia
Kafozoff, Vesselia is an individual health care provider with primary practice located at 111 West Water Street , Toms River NJ 08754. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kafozoff, Vesselia can be contacted via phone (732) 244-4700.Contact Information
Primary practice address
111 West Water Street
Toms River NJ 08754
Phone: (732) 244-4700
Fax: (732) 244-2804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 25MP00097500 | New Jersey |
Profile Details
| NPI number | 1538357132 |
|---|---|
| LBN Legal business name | Kafozoff, Vesselia |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Apr 22nd, 2013 - about 11 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 | 1538357132 | NPPES |
| New Jersey | Other | P01147736 | RAILROAD MEDICARE |
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