Kostka, Laurie J

Kostka, Laurie J is an individual health care provider with primary practice located at 824 Illinois Avenue , Stevens Point WI 54481. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kostka, Laurie J can be contacted via phone (715) 342-7500.

Contact Information

Primary practice address
824 Illinois Avenue Stevens Point WI 54481
Phone: (715) 342-7500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 704 Wisconsin

Profile Details

NPI number 1992840342
LBN Legal business name Kostka, Laurie J
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated May 23rd, 2008 - about 16 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 1992840342 NPPES
Wisconsin MEDICAID 43851300

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