Komosa, Kristine A
Komosa, Kristine A is an individual health care provider with primary practice located at 3600 Kolbe Rd Suite 127, Lorain OH 44053-1654. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Komosa, Kristine A can be contacted via phone (440) 414-9200.Contact Information
Primary practice address
3600 Kolbe Rd Suite 127
Lorain OH 44053-1654
Phone: (440) 414-9200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-06796 | Ohio |
Profile Details
| NPI number | 1336111806 |
|---|---|
| LBN Legal business name | Komosa, Kristine A |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Jan 14th, 2021 - about 5 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 | 1336111806 | NPPES |
| Ohio | MEDICAID | 2599791 |
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