Kosek, Douglas John
Kosek, Douglas John is an sole proprietor health care provider with primary practice located at 413 W Jefferson Blvd , South Bend IN 46601-1514. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kosek, Douglas John can be contacted via phone (574) 232-2992.Contact Information
Primary practice address
413 W Jefferson Blvd
South Bend IN 46601-1514
Phone: (574) 232-2992
Fax: (574) 232-2739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12009873 | Indiana |
Profile Details
| NPI number | 1780704247 |
|---|---|
| LBN Legal business name | Kosek, Douglas John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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