Kostrzewa, John P.
Kostrzewa, John P. is an individual health care provider with primary practice located at 1963 Memorial Parkway Sw Suite 5, Huntsville AL 35801. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Kostrzewa, John P. can be contacted via phone (256) 536-9300.Contact Information
Primary practice address
1963 Memorial Parkway Sw Suite 5
Huntsville AL 35801
Phone: (256) 536-9300
Fax: (256) 535-9032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 27811 | Alabama |
Profile Details
| NPI number | 1093924359 |
|---|---|
| LBN Legal business name | Kostrzewa, John P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Dec 22nd, 2022 - about 2 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 | 1093924359 | NPPES |
| Alabama | Other | 51107582 | BLUECROSS BLUESHIELD OF AL |
| Alabama | MEDICAID | 1437279601 | BLUECROSS BLUESHIELD OF AL |
| Alabama | Other | 51103360 | BLUECROSS BLUESHIELD OF AL |
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