Koss, Anastasia
Koss, Anastasia is an sole proprietor health care provider with primary practice located at 6474 Centerville Business Pkwy , Dayton OH 45459-2633. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Koss, Anastasia can be contacted via phone (937) 435-7477.Contact Information
Primary practice address
6474 Centerville Business Pkwy
Dayton OH 45459-2633
Phone: (937) 435-7477
Fax: (937) 435-6644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 36003807 | Ohio |
Profile Details
| NPI number | 1316357858 |
|---|---|
| LBN Legal business name | Koss, Anastasia |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2014 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1316357858 | NPPES |
| Ohio | MEDICAID | 0223320 |
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