Kosanka, Jackie

Kosanka, Jackie is an individual health care provider with primary practice located at 5705 Ford Rd , Commerce Township MI 48382-1030. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Kosanka, Jackie can be contacted via phone (419) 367-2231.

Contact Information

Primary practice address
5705 Ford Rd Commerce Township MI 48382-1030
Phone: (419) 367-2231
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1061835 Michigan

Profile Details

NPI number 1700667615
LBN Legal business name Kosanka, Jackie
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2023
Last updated Oct 9th, 2023 - about 2 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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