Kozak, Krystian K
Kozak, Krystian K is an individual health care provider with primary practice located at 3003 University Dr , Marinette WI 54143. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Kozak, Krystian K can be contacted via phone (715) 735-4200.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 68055 | Wisconsin |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | N68055-20 | Wisconsin |
Profile Details
NPI number | 1336522531 |
---|---|
LBN Legal business name | Kozak, Krystian K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2015 |
Last updated | Mar 5th, 2024 - about 9 months 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 | 1336522531 | NPPES |
Wisconsin | MEDICAID | 100075430 |
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