Koster, Daniel G
Koster, Daniel G is an individual health care provider with primary practice located at 704 S Webster Ave Ste 1C , Green Bay WI 54301-3528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koster, Daniel G can be contacted via phone (920) 433-3486.Contact Information
Primary practice address
704 S Webster Ave Ste 1C
Green Bay WI 54301-3528
Phone: (920) 433-3486
Fax: (920) 433-7994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 29565 | Wisconsin |
Profile Details
| NPI number | 1992789689 |
|---|---|
| LBN Legal business name | Koster, Daniel G |
| Credentials | MD SC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Mar 30th, 2020 - about 4 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 | 1992789689 | NPPES |
| West Virginia | Other | 29565 | LICENSE |
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