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
Phone: (860) 523-8026
Fax: (860) 523-7622
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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