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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427001361 NPPES
Pennsylvania MEDICAID 1499690-41
Pennsylvania Other 605819

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