Kogan, Victoria
Kogan, Victoria is an sole proprietor health care provider with primary practice located at 5409 Avenue O , Fort Madison IA 52627-9601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kogan, Victoria can be contacted via phone (319) 376-2134.Contact Information
Primary practice address
5409 Avenue O
Fort Madison IA 52627-9601
Phone: (319) 376-2134
Fax: (319) 376-2188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 254723 | New York |
Profile Details
| NPI number | 1730412412 |
|---|---|
| LBN Legal business name | Kogan, Victoria |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2009 |
| Last updated | Dec 14th, 2010 - about 14 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 | 1730412412 | NPPES |
| Iowa | MEDICAID | 1730412412 | |
| Iowa | Other | 511790005 |
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