Kostelanetz, Anna

Kostelanetz, Anna is an sole proprietor health care provider with primary practice located at 3070 N 51St St Suite P309, Milwaukee WI 53210-1645. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Kostelanetz, Anna can be contacted via phone (414) 447-4227.

Contact Information

Primary practice address
3070 N 51St St Suite P309 Milwaukee WI 53210-1645
Phone: (414) 447-4227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 47900-020 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 47900-020 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 47900-20 Wisconsin

Profile Details

NPI number 1851366611
LBN Legal business name Kostelanetz, Anna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2006
Last updated Feb 11th, 2020 - about 5 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 1851366611 NPPES
Wisconsin MEDICAID 34651100

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