Kozinn, Mark Alan
Kozinn, Mark Alan is an sole proprietor health care provider with primary practice located at 135 N Park Pl Ste 200 , Stockbridge GA 30281-7209. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Kozinn, Mark Alan can be contacted via phone (678) 289-7960.Contact Information
Primary practice address
135 N Park Pl Ste 200
Stockbridge GA 30281-7209
Phone: (678) 289-7960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 16005 | Georgia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 016005 | Georgia |
Profile Details
| NPI number | 1184696973 |
|---|---|
| LBN Legal business name | Kozinn, Mark Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jul 15th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184696973 | NPPES |
| Georgia | MEDICAID | 000149949V |
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