Koscica, Sarah R

Koscica, Sarah R is an individual health care provider with primary practice located at 1701 W Garden St , Peoria IL 61605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Koscica, Sarah R can be contacted via phone (309) 680-7600.

Contact Information

Primary practice address
1701 W Garden St Peoria IL 61605
Phone: (309) 680-7600
Fax: (309) 680-7686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036120457 Illinois

Profile Details

NPI number 1003814625
LBN Legal business name Koscica, Sarah R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jun 11th, 2014 - about 10 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 1003814625 NPPES
Ohio Other 142205 PRIORITY HEALTH
Ohio Other 344428256 PRIORITY HEALTH
Ohio Other 344428256 PRIORITY HEALTH
Ohio Other 344428256 PRIORITY HEALTH
Ohio Other 000000271872 PRIORITY HEALTH
Ohio Other 01513 PRIORITY HEALTH
Ohio MEDICAID 4753670 PRIORITY HEALTH
Ohio Other 142205 PRIORITY HEALTH
Ohio Other 344428256065 PRIORITY HEALTH
Ohio MEDICAID 4763660 PRIORITY HEALTH
Ohio MEDICAID 2581102 PRIORITY HEALTH
Ohio Other 000000371872 PRIORITY HEALTH
Ohio Other 130662 PRIORITY HEALTH
Ohio Other 3303596 PRIORITY HEALTH

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