Kosakowski, Chris A
Kosakowski, Chris A is an sole proprietor health care provider with primary practice located at 1111 Sonoma Ave Ste 112, Santa Rosa CA 95405-4813. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kosakowski, Chris A can be contacted via phone (707) 579-5520.Contact Information
Primary practice address
1111 Sonoma Ave Ste 112
Santa Rosa CA 95405-4813
Phone: (707) 579-5520
Fax: (707) 579-8820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | G494990 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G494990 | Colorado |
Profile Details
| NPI number | 1497782239 |
|---|---|
| LBN Legal business name | Kosakowski, Chris A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Feb 1st, 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 | 1497782239 | NPPES |
| California | Other | 020052144 | RAILROAD MEDICARE |
| California | Other | 00G494990 | RAILROAD MEDICARE |
| California | MEDICAID | 00G494990 | RAILROAD MEDICARE |
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