Kasofsky, Martin Phillip

Kasofsky, Martin Phillip is an individual health care provider with primary practice located at 601 State Route 664 N , Logan OH 43138-8541. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kasofsky, Martin Phillip can be contacted via phone (740) 380-8000.

Contact Information

Primary practice address
601 State Route 664 N Logan OH 43138-8541
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 104826 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 100555 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.149581 Ohio

Profile Details

NPI number 1598783722
LBN Legal business name Kasofsky, Martin Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Feb 8th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598783722 NPPES
Wisconsin MEDICAID 100235508
Wisconsin MEDICAID 01424024

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