Koscielniak, Joseph B
Koscielniak, Joseph B is an sole proprietor health care provider with primary practice located at 5587 Broadway , Merrillville IN 46410-2632. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Koscielniak, Joseph B can be contacted via phone (219) 887-9506.Contact Information
Primary practice address
5587 Broadway
Merrillville IN 46410-2632
Phone: (219) 887-9506
Fax: (219) 884-3761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01028974 | Indiana |
Profile Details
| NPI number | 1841299468 |
|---|---|
| LBN Legal business name | Koscielniak, Joseph B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Jan 12th, 2012 - about 13 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 | 1841299468 | NPPES |
| Indiana | Other | 000000081974 | ANTHEM |
| Indiana | MEDICAID | 100353230A | ANTHEM |
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