Koshnick, Robert A

Koshnick, Robert A is an individual health care provider with primary practice located at 1027 Washington Ave , Detroit Lakes MN 56501-3409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koshnick, Robert A can be contacted via phone (218) 847-5611.

Contact Information

Primary practice address
1027 Washington Ave Detroit Lakes MN 56501-3409
Phone: (218) 847-5611
Fax: (218) 847-0881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19195 Minnesota

Profile Details

NPI number 1265472393
LBN Legal business name Koshnick, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Nov 22nd, 2011 - about 15 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 1265472393 NPPES
Minnesota MEDICAID 17262
Minnesota Other 6406
Minnesota Other DA9031015665
Minnesota Other 1031
Minnesota Other 107946
Minnesota MEDICAID 636375000
Minnesota Other MN100024
Minnesota Other 9044868
Minnesota Other HP19530
Minnesota Other 0122666
Minnesota Other 106057
Minnesota Other 50321KO
Minnesota Other 61236KO

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