Kosikowski, Stuart A

Kosikowski, Stuart A is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935-4560. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kosikowski, Stuart A can be contacted via phone (920) 926-8472.

Contact Information

Primary practice address
421 Camelot Dr Fond Du Lac WI 54935-4560
Phone: (920) 926-8472
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2012 Wisconsin

Profile Details

NPI number 1831170141
LBN Legal business name Kosikowski, Stuart A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Nov 18th, 2020 - about 4 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 1831170141 NPPES
Wisconsin Other WI01J4 JOHN DEERE
Wisconsin Other 12565 JOHN DEERE
Wisconsin MEDICAID 38525900 JOHN DEERE
Wisconsin Other 410029533 JOHN DEERE
Wisconsin Other 39080723646 JOHN DEERE
Wisconsin Other 501574 JOHN DEERE

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