Kozakiewicz, Richard T

Kozakiewicz, Richard T is an individual health care provider with primary practice located at 120 Village Dr , Greensburg PA 15601-3707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Kozakiewicz, Richard T can be contacted via phone (724) 836-7590.

Contact Information

Primary practice address
120 Village Dr Greensburg PA 15601-3707
Fax: (724) 836-7570
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD060641L Pennsylvania

Profile Details

NPI number 1275579864
LBN Legal business name Kozakiewicz, Richard T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275579864 NPPES
Pennsylvania MEDICAID 01643678

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