Kossmann, Marc R
Kossmann, Marc R is an sole proprietor health care provider with primary practice located at 101 W Eagle Rd Ste 147 , Havertown PA 19083-2244. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kossmann, Marc R can be contacted via phone (610) 506-3453.Contact Information
Primary practice address
101 W Eagle Rd Ste 147
Havertown PA 19083-2244
Phone: (610) 506-3453
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS-007828-L | Pennsylvania |
Profile Details
| NPI number | 1427001361 |
|---|---|
| LBN Legal business name | Kossmann, Marc R |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Jul 17th, 2024 - about 4 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 | 1427001361 | NPPES |
| Pennsylvania | MEDICAID | 1499690-41 | |
| Pennsylvania | Other | 605819 |
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