Kosakowski, Chris A

Kosakowski, Chris A is an sole proprietor health care provider with primary practice located at 1111 Sonoma Ave Ste 112, Santa Rosa CA 95405-4813. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kosakowski, Chris A can be contacted via phone (707) 579-5520.

Contact Information

Primary practice address
1111 Sonoma Ave Ste 112 Santa Rosa CA 95405-4813
Phone: (707) 579-5520
Fax: (707) 579-8820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X G494990 California
Allopathic & Osteopathic Physicians / Surgery 208600000X G494990 Colorado

Profile Details

NPI number 1497782239
LBN Legal business name Kosakowski, Chris A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated Feb 1st, 2021 - about 3 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 1497782239 NPPES
California Other 020052144 RAILROAD MEDICARE
California Other 00G494990 RAILROAD MEDICARE
California MEDICAID 00G494990 RAILROAD MEDICARE

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