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:
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Health care specialties

SpecialtyCodeLicense #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 7 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 1679576698 NPPES
Arizona Other 11394042 CAQH
Arizona MEDICAID 717150 CAQH

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