Kostick, Richard A.

Kostick, Richard A. is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kostick, Richard A. can be contacted via phone (570) 888-6102.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (570) 888-6102
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 213740-1 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X OS013100 Pennsylvania

Profile Details

NPI number 1073582557
LBN Legal business name Kostick, Richard A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 12th, 2021 - about 3 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 1073582557 NPPES
Pennsylvania Other CC9269 RR MEDICARE GROUP
Pennsylvania Other P00199377 RR MEDICARE GROUP
Pennsylvania MEDICAID 01990954 RR MEDICARE GROUP
Pennsylvania MEDICAID 1012524710001 RR MEDICARE GROUP
Pennsylvania Other CC8362 RR MEDICARE GROUP
Pennsylvania Other GU058887 RR MEDICARE GROUP
Pennsylvania Other P00098797 RR MEDICARE GROUP
Pennsylvania Other GU039853 RR MEDICARE GROUP

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