Kosmen, John Michael
Kosmen, John Michael is an individual health care provider with primary practice located at 9762 West Lake Avenue , Minocqua WI 54548. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kosmen, John Michael can be contacted via phone (715) 358-3321.Contact Information
Primary practice address
9762 West Lake Avenue
Minocqua WI 54548
Phone: (715) 358-3321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4694 | Wisconsin |
Profile Details
| NPI number | 1679758395 |
|---|---|
| LBN Legal business name | Kosmen, John Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2007 |
| Last updated | Dec 31st, 2007 - about 18 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 | 1679758395 | NPPES |
| Wisconsin | MEDICAID | 33727700 |
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