Koziol, Raymond J

Koziol, Raymond J is an individual health care provider with primary practice located at 10 Tower Dr Dean Medical Center, Sun Prairie WI 53590-1239. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Koziol, Raymond J can be contacted via phone (608) 825-3008.

Contact Information

Primary practice address
10 Tower Dr Dean Medical Center Sun Prairie WI 53590-1239
Phone: (608) 825-3008
Fax: (608) 825-3794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1850-057 Wisconsin

Profile Details

NPI number 1447286653
LBN Legal business name Koziol, Raymond J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 8th, 2010 - about 14 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 1447286653 NPPES
Wisconsin MEDICAID 39752600
Wisconsin Other 4729

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