Kossuth, Sara L.

Kossuth, Sara L. is an individual health care provider with primary practice located at 41870 Garstin Drive , Big Bear Lake CA 92315-1649. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Kossuth, Sara L. can be contacted via phone (909) 878-8201.

Contact Information

Primary practice address
41870 Garstin Drive Big Bear Lake CA 92315-1649
Phone: (909) 878-8201
Fax: (909) 878-8286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20A5955 California

Profile Details

NPI number 1417902974
LBN Legal business name Kossuth, Sara L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Aug 27th, 2007 - about 18 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 1417902974 NPPES
California MEDICAID 00AX59550
California Other 020A59550
California Other 20A5955
California Other 050618CF26282
California Other 00AX59550

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