Kosta, John Michael
Kosta, John Michael is an individual health care provider with primary practice located at 655 Kenmoor Ave Se Suite A, Grand Rapids MI 49546-8622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Kosta, John Michael can be contacted via phone (616) 575-1212.Contact Information
Primary practice address
655 Kenmoor Ave Se Suite A
Grand Rapids MI 49546-8622
Phone: (616) 575-1212
Fax: (616) 575-1219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | JK046253 | Michigan |
Profile Details
| NPI number | 1184642951 |
|---|---|
| LBN Legal business name | Kosta, John Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 21st, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184642951 | NPPES |
| Michigan | Other | 0D11035 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 40004194 | BLUE CROSS BLUE SHIELD |
| Michigan | MEDICAID | 1822580 | BLUE CROSS BLUE SHIELD |
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