Kouskov, Oleg Sergeevich

Kouskov, Oleg Sergeevich is an individual health care provider with primary practice located at 2347 E Gala St , Meridian ID 83642-4881. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Kouskov, Oleg Sergeevich can be contacted via phone (208) 323-3767.

Contact Information

Primary practice address
2347 E Gala St Meridian ID 83642-4881
Phone: (208) 323-3767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X M11223 Idaho
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X M11223 Idaho

Profile Details

NPI number 1053521203
LBN Legal business name Kouskov, Oleg Sergeevich
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jan 23rd, 2014 - about 11 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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