Kohl, Jack

Kohl, Jack is an individual health care provider with primary practice located at 3000 Arlington Ave Antesthsia, Toledo OH 43614-2595. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kohl, Jack can be contacted via phone (419) 383-3556.

Contact Information

Primary practice address
3000 Arlington Ave Antesthsia Toledo OH 43614-2595
Phone: (419) 383-3556
Fax: (419) 383-3550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN168859 Ohio

Profile Details

NPI number 1073507901
LBN Legal business name Kohl, Jack
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jul 8th, 2007 - about 19 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 1073507901 NPPES
Ohio MEDICAID 4344968

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