Kosofsky, Eric Myles

Kosofsky, Eric Myles is an individual health care provider with primary practice located at 999 Asylum Ave Ste 111 , Hartford CT 06105-2416. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Kosofsky, Eric Myles can be contacted via phone (860) 523-8026.

Contact Information

Primary practice address
999 Asylum Ave Ste 111 Hartford CT 06105-2416
Fax: (860) 523-7622
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 000468 Connecticut
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000468 Connecticut

Profile Details

NPI number 1295712891
LBN Legal business name Kosofsky, Eric Myles
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jan 5th, 2021 - about 3 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 1295712891 NPPES
Other 0190960002 CIGNA
Other 030000468CT04 CIGNA
Other 0744660001 CIGNA
Other 0533188 CIGNA
Other 060468 CIGNA
Other HAS384 CIGNA
Other 061280198003 CIGNA
MEDICAID 004162476 CIGNA
Other 061280198 CIGNA
Other 0P0501 CIGNA
Other 480007333 CIGNA
Other C14746 CIGNA

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