Kos, Jacquelyn Lisa

Kos, Jacquelyn Lisa is an individual health care provider with primary practice located at 999 Foxon Rd Unite 8, North Branford CT 06471. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Kos, Jacquelyn Lisa can be contacted via phone (203) 484-7579.

Contact Information

Primary practice address
999 Foxon Rd Unite 8 North Branford CT 06471
Phone: (203) 484-7579
Fax: (203) 484-2686
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CT000885 Connecticut

Profile Details

NPI number 1386750156
LBN Legal business name Kos, Jacquelyn Lisa
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 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 1386750156 NPPES
Connecticut Other 050000885CT04 ANTHEM
Connecticut MEDICAID 4112710 ANTHEM
Connecticut Other 532967 ANTHEM
Connecticut Other 760513 ANTHEM
Connecticut Other 948313 ANTHEM
Connecticut Other P122567 ANTHEM

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