Kossak, Maria N

Kossak, Maria N is an sole proprietor health care provider with primary practice located at 22074 Michigan Ave , Dearborn MI 48124-2353. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Kossak, Maria N can be contacted via phone (313) 565-9510.

Contact Information

Primary practice address
22074 Michigan Ave Dearborn MI 48124-2353
Phone: (313) 565-9510
Fax: (313) 565-4410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 5101010416 Michigan
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 5101010416 Michigan

Profile Details

NPI number 1821292723
LBN Legal business name Kossak, Maria N
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2007
Last updated Jul 8th, 2007 - about 17 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 1821292723 NPPES
Michigan MEDICAID 4318019

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