Kokoska, Mimi S
Kokoska, Mimi S is an individual health care provider with primary practice located at 4600 W Loomis Rd Suite 201, Greenfield WI 53220-4858. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Kokoska, Mimi S can be contacted via phone (414) 281-4466.Contact Information
Primary practice address
4600 W Loomis Rd Suite 201
Greenfield WI 53220-4858
Phone: (414) 281-4466
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | E-3850 | Arkansas |
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | E-3850 | Arkansas |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 01054222A | Indiana |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 64145 | Wisconsin |
Profile Details
| NPI number | 1770674897 |
|---|---|
| LBN Legal business name | Kokoska, Mimi S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 30th, 2015 - about 9 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 | 1770674897 | NPPES |
| Arkansas | Other | 03120016300 | QUALCHOICE |
| Arkansas | Other | P00082526 | QUALCHOICE |
| Arkansas | Other | E3850 | QUALCHOICE |
| Arkansas | MEDICAID | 150875001 | QUALCHOICE |
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