Kostesich, Joseph
Kostesich, Joseph is an sole proprietor health care provider with primary practice located at 51950 Van Dyke Ave , Shelby Township MI 48316-4453. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kostesich, Joseph can be contacted via phone (586) 254-9030.Contact Information
Primary practice address
51950 Van Dyke Ave
Shelby Township MI 48316-4453
Phone: (586) 254-9030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002753 | Michigan |
Profile Details
| NPI number | 1831181411 |
|---|---|
| LBN Legal business name | Kostesich, Joseph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Feb 17th, 2015 - about 9 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 | 1831181411 | NPPES |
| Michigan | Other | 0E06638 | MEDICARE PTAN |
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