Kosick, Thomas J
Kosick, Thomas J is an sole proprietor health care provider with primary practice located at 3242 S. Main St , Sandy Lake PA 16145-0487. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kosick, Thomas J can be contacted via phone (724) 376-7161.Contact Information
Primary practice address
3242 S. Main St
Sandy Lake PA 16145-0487
Phone: (724) 376-7161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 031319 | Pennsylvania |
Profile Details
| NPI number | 1104827476 |
|---|---|
| LBN Legal business name | Kosick, Thomas J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Oct 15th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104827476 | NPPES |
| Pennsylvania | Other | 1495660 | UNITED CONCORDIA PROVIDER |
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