Kasofsky, Martin Phillip
Kasofsky, Martin Phillip is an individual health care provider with primary practice located at 601 State Route 664 N , Logan OH 43138-8541. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kasofsky, Martin Phillip can be contacted via phone (740) 380-8000.Contact Information
Primary practice address
601 State Route 664 N
Logan OH 43138-8541
Phone: (740) 380-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 104826 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 100555 | Wisconsin |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35.149581 | Ohio |
Profile Details
| NPI number | 1598783722 |
|---|---|
| LBN Legal business name | Kasofsky, Martin Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Feb 8th, 2024 - about last year |
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 | 1598783722 | NPPES |
| Wisconsin | MEDICAID | 100235508 | |
| Wisconsin | MEDICAID | 01424024 |
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