Kosnoski, Edward Michael
Kosnoski, Edward Michael is an sole proprietor health care provider with primary practice located at 10002 Se 240Th St , Kent WA 98031-4839. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kosnoski, Edward Michael can be contacted via phone (253) 852-2020.Contact Information
Primary practice address
10002 Se 240Th St
Kent WA 98031-4839
Phone: (253) 852-2020
Fax: (253) 854-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3410 | Washington |
Profile Details
| NPI number | 1942200415 |
|---|---|
| LBN Legal business name | Kosnoski, Edward Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Apr 17th, 2012 - about 12 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 | 1942200415 | NPPES |
| Washington | MEDICAID | 1021416 | |
| Washington | MEDICAID | 2027381 | |
| Washington | MEDICAID | 1006117 | |
| Washington | Other | DF8532 | |
| Washington | Other | KO7760 | |
| Washington | Other | P00446408 | |
| Washington | MEDICAID | 1012250 | |
| Washington | Other | 0213257 |
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