Kosel, Zdzislaw Jerry

Kosel, Zdzislaw Jerry is an individual health care provider with primary practice located at 416 E Monroe St Ste 200, South Bend IN 46601-2371. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Other Service Providers / Specialist is his primary health care specialty. Kosel, Zdzislaw Jerry can be contacted via phone (574) 232-8119.

Contact Information

Primary practice address
416 E Monroe St Ste 200 South Bend IN 46601-2371
Phone: (574) 232-8119
Fax: (574) 288-0235
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01056113A Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01056113A Indiana

Profile Details

NPI number 1821044637
LBN Legal business name Kosel, Zdzislaw Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Oct 6th, 2008 - 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 1821044637 NPPES
Indiana MEDICAID 200381040

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