Kotsonas, Samual Dean

Kotsonas, Samual Dean is an individual health care provider with primary practice located at 2001 Alford Dr , Kenosha WI 53140-1927. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Kotsonas, Samual Dean can be contacted via phone (952) 300-7222.

Contact Information

Primary practice address
2001 Alford Dr Kenosha WI 53140-1927
Phone: (952) 300-7222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Wisconsin

Profile Details

NPI number 1124610597
LBN Legal business name Kotsonas, Samual Dean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2021
Last updated Feb 8th, 2021 - about 4 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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