Kosmicki, Douglas Lee
Kosmicki, Douglas Lee is an individual health care provider with primary practice located at 3515 Richmond Circle , Grand Island NE 68803-4965. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Kosmicki, Douglas Lee can be contacted via phone (308) 381-8636.Contact Information
Primary practice address
3515 Richmond Circle
Grand Island NE 68803-4965
Phone: (308) 381-8636
Fax: (308) 381-8622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 24681 | Nebraska |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 24681 | Nebraska |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 24681 | Nebraska |
Profile Details
| NPI number | 1295840130 |
|---|---|
| LBN Legal business name | Kosmicki, Douglas Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Feb 1st, 2012 - about 13 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 | 1295840130 | NPPES |
| Nebraska | MEDICAID | 10026072500 | |
| Nebraska | MEDICAID | 47070592302 | |
| Nebraska | MEDICAID | 47070592305 | |
| Nebraska | MEDICAID | 47070592313 | |
| Nebraska | MEDICAID | 200567060A | |
| Nebraska | MEDICAID | 10026072400 | |
| Nebraska | MEDICAID | 1202489 | |
| Nebraska | MEDICAID | 10026072300 | |
| Nebraska | MEDICAID | 47070592300 | |
| Nebraska | MEDICAID | 47070592301 | |
| Nebraska | MEDICAID | 0202486 | |
| Nebraska | MEDICAID | 47070592306 |
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