Kokoszka, Edward A.

Kokoszka, Edward A. is an individual health care provider with primary practice located at 321 Mulberry St Sw , Lenoir NC 28645-5720. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kokoszka, Edward A. can be contacted via phone (828) 757-5100.

Contact Information

Primary practice address
321 Mulberry St Sw Lenoir NC 28645-5720
Phone: (828) 757-5100
Fax: (828) 757-6193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 076897 North Carolina

Profile Details

NPI number 1982707063
LBN Legal business name Kokoszka, Edward A.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982707063 NPPES
North Carolina MEDICAID 8051002

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