Kostiuk, Theodore Anthony
Kostiuk, Theodore Anthony is an individual health care provider with primary practice located at 370 N 120Th Ave Ste 20 , Holland MI 49424-2196. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Kostiuk, Theodore Anthony can be contacted via phone (616) 396-5855.Contact Information
Primary practice address
370 N 120Th Ave Ste 20
Holland MI 49424-2196
Phone: (616) 396-5855
Fax: (616) 396-5720
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 02004389A | Indiana |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 5101021584 | Michigan |
Profile Details
NPI number | 1952544876 |
---|---|
LBN Legal business name | Kostiuk, Theodore Anthony |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 7th, 2009 |
Last updated | Mar 4th, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952544876 | NPPES |
Indiana | MEDICAID | 201244390 |
Popular Providers
-
Schwartz, Arnold M
206 East Jericho Turnpike , Huntington Station NY 11746 -
Chamberlin, Eric C
500 W Berkeley St , Uniontown PA 15401-5514 -
Ehlert, John Louis
3290 N Wellness Dr Suite 250, Holland MI 49424-7259 -
Rahn, Kevin A
7601 W Jefferson Blvd , Fort Wayne IN 46804-4133 -
Alongi, Paul R
206 East Jericho Turnpike , Huntington Station NY 11747 -
Dinkins, Juan S
127 Crestview Park Dr , Dickson TN 37055-2850 -
Keller, Paul M
2222 S. Harbor City Blvd Suite 420, Melbourne FL 32901 -
Mikles, Mark R
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243