Koshuta, Nicholas Leo
Koshuta, Nicholas Leo is an individual health care provider with primary practice located at 2820 N Glassford Hill Rd Ste 101, Prescott Valley AZ 86314-2256. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Koshuta, Nicholas Leo can be contacted via phone (928) 775-5606.Contact Information
Primary practice address
2820 N Glassford Hill Rd Ste 101
Prescott Valley AZ 86314-2256
Phone: (928) 775-5606
Fax: (928) 772-4999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1264 | Arizona |
Profile Details
| NPI number | 1992701494 |
|---|---|
| LBN Legal business name | Koshuta, Nicholas Leo |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jul 8th, 2007 - 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.
Popular Providers
-
Packer, Bradley D
7763 E Florentine Rd , Prescott Valley AZ 86314-2289 -
Lee, Priscilla
1781 E Highway 69 Suite 55, Prescott AZ 86301-5666 -
Frost, Renita Charlene
7840 E St Route Hwy 69 Suite A-5A, Prescott Valley AZ 86314-2274 -
Tanner, William Robert
3450 N Glassford Hill Rd , Prescott Valley AZ 86314 -
Sullivan, Matthew Ryan
980 Willow Creek Road Suite 202, Prescott AZ 86301-1610 -
Meyers, Steven Mark
1022 Willow Creek Rd Suite 200, Prescott AZ 86301-1607 -
Miranda, Carrie Joy
1680 Willow Creek Rd , Prescott AZ 86301-1108 -
Courtright, Brian John
3153 N Windsong Dr , Prescott Valley AZ 86314-2240