Kolaczkowski, Jeffrey Frank
Kolaczkowski, Jeffrey Frank is an individual health care provider with primary practice located at 1320 Woodman Dr Suite 200, Dayton OH 45432-3497. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kolaczkowski, Jeffrey Frank can be contacted via phone (937) 223-1781.Contact Information
Primary practice address
1320 Woodman Dr Suite 200
Dayton OH 45432-3497
Phone: (937) 223-1781
Fax: (937) 853-0096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I0008388 | Ohio |
Profile Details
| NPI number | 1821070137 |
|---|---|
| LBN Legal business name | Kolaczkowski, Jeffrey Frank |
| Credentials | MSW LISW LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821070137 | NPPES |
| Ohio | MEDICAID | 2272231 |
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