Kosobucki, Brian R
Kosobucki, Brian R is an individual health care provider with primary practice located at 3333 Brookview Hills Blvd Suite 107, Winston Salem NC 27103-5661. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Kosobucki, Brian R can be contacted via phone (336) 842-3780.Contact Information
Primary practice address
3333 Brookview Hills Blvd Suite 107
Winston Salem NC 27103-5661
Phone: (336) 842-3780
Fax: (336) 842-3964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 200401088 | North Carolina |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 200401088 | North Carolina |
Profile Details
| NPI number | 1366548174 |
|---|---|
| LBN Legal business name | Kosobucki, Brian R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jan 15th, 2024 - about 10 months 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 | 1366548174 | NPPES |
| North Carolina | Other | 804621 | PARTNERS |
| North Carolina | MEDICAID | 1689048423 | PARTNERS |
| North Carolina | Other | 137HT | PARTNERS |
| North Carolina | Other | NCR000F360 | PARTNERS |
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