Koslowske, Diana Lowry

Koslowske, Diana Lowry is an individual health care provider with primary practice located at 511 Wilson Ave Nw Suite G, Grand Rapids MI 49534-7986. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Koslowske, Diana Lowry can be contacted via phone (616) 301-8663.

Contact Information

Primary practice address
511 Wilson Ave Nw Suite G Grand Rapids MI 49534-7986
Phone: (616) 301-8663
Fax: (616) 301-2987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003577 Michigan

Profile Details

NPI number 1053306274
LBN Legal business name Koslowske, Diana Lowry
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated May 20th, 2008 - about 16 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 1053306274 NPPES
Michigan Other 203516664 TAX ID
Michigan Other 900D115230 TAX ID

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