Kozak, John M

Kozak, John M is an individual health care provider with primary practice located at 4530 East Muirwood Drive Ste 110, Phoenix AZ 85048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Kozak, John M can be contacted via phone (480) 763-5808.

Contact Information

Primary practice address
4530 East Muirwood Drive Ste 110 Phoenix AZ 85048
Phone: (480) 763-5808
Fax: (480) 759-0647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 23442 Arizona

Profile Details

NPI number 1609833409
LBN Legal business name Kozak, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jan 11th, 2010 - about 15 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 1609833409 NPPES
Arizona MEDICAID 319279

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