Kentosh, Joshua Bradley

Kentosh, Joshua Bradley is an sole proprietor health care provider with primary practice located at 4909 N. Glen Park Place , Peoria IL 61614-4676. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Kentosh, Joshua Bradley can be contacted via phone (309) 674-7546.

Contact Information

Primary practice address
4909 N. Glen Park Place Peoria IL 61614-4676
Phone: (309) 674-7546
Fax: (309) 691-9286
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 036.142442 Illinois
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 036.142442 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036.142442 Illinois

Profile Details

NPI number 1902096928
LBN Legal business name Kentosh, Joshua Bradley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2007
Last updated Jul 12th, 2018 - about 8 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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