Kosak, Heidi Lyn
Kosak, Heidi Lyn is an individual health care provider with primary practice located at 14450 Eagle Run Dr Suite 150, Omaha NE 68116-1493. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Kosak, Heidi Lyn can be contacted via phone (402) 964-0300.Contact Information
Primary practice address
14450 Eagle Run Dr Suite 150
Omaha NE 68116-1493
Phone: (402) 964-0300
Fax: (402) 964-0058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1297 | Nebraska |
Profile Details
| NPI number | 1114910593 |
|---|---|
| LBN Legal business name | Kosak, Heidi Lyn |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jul 15th, 2008 - about 18 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 | 1114910593 | NPPES |
| Nebraska | MEDICAID | 10025192900 |
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