Kostrewa, James H
Kostrewa, James H is an individual health care provider with primary practice located at 7540 N 19Th Ave Ste 101 , Phoenix AZ 85021. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kostrewa, James H can be contacted via phone (602) 249-9129.Contact Information
Primary practice address
7540 N 19Th Ave Ste 101
Phoenix AZ 85021
Phone: (602) 249-9129
Fax: (602) 249-4115
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4204 | Arizona |
Profile Details
NPI number | 1679576698 |
---|---|
LBN Legal business name | Kostrewa, James H |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2005 |
Last updated | Jul 13th, 2018 - about 6 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 | 1679576698 | NPPES |
Arizona | Other | 11394042 | CAQH |
Arizona | MEDICAID | 717150 | CAQH |
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