Kossow, Alan S
Kossow, Alan S is an sole proprietor health care provider with primary practice located at 255 N Lakemont Ave Suite 202 , Winter Park FL 32792. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kossow, Alan S can be contacted via phone (407) 628-1665.Contact Information
Primary practice address
255 N Lakemont Ave Suite 202
Winter Park FL 32792
Phone: (407) 628-1665
Fax: (407) 629-6461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | S0003916 | Florida |
Profile Details
| NPI number | 1679550925 |
|---|---|
| LBN Legal business name | Kossow, Alan S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Sep 6th, 2016 - about 8 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 | 1679550925 | NPPES |
| Florida | MEDICAID | 065963100 |
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