Klosak, John J
Klosak, John J is an individual health care provider with primary practice located at 2101 Nicholas Ct , Bettendorf IA 52722-2177. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Klosak, John J can be contacted via phone (563) 650-7355.Contact Information
Primary practice address
2101 Nicholas Ct
Bettendorf IA 52722-2177
Phone: (563) 650-7355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 28375 | Iowa |
Profile Details
| NPI number | 1538169941 |
|---|---|
| LBN Legal business name | Klosak, John J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jan 17th, 2020 - about 6 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 | 1538169941 | NPPES |
| Iowa | Other | 28375 | LICENSE |
| Iowa | MEDICAID | 036060710 | LICENSE |
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