Kossol, William Robert

Kossol, William Robert is an individual health care provider with primary practice located at 12100 Kennedy Ln #206, Fredericksburg VA 22407-6760. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kossol, William Robert can be contacted via phone (540) 785-3937.

Contact Information

Primary practice address
12100 Kennedy Ln #206 Fredericksburg VA 22407-6760
Phone: (540) 785-3937
Fax: (540) 785-5498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0601001281 Virginia

Profile Details

NPI number 1649266248
LBN Legal business name Kossol, William Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Dec 18th, 2009 - about 16 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 1649266248 NPPES
Virginia Other 17033 AVESIS
Virginia Other 6683 AVESIS
Virginia Other 902137 AVESIS
Virginia Other C09338 AVESIS
Virginia Other 452927 AVESIS
Virginia MEDICAID 09235591 AVESIS
Virginia Other 4091903 AVESIS
Virginia Other 2150133 AVESIS
Virginia Other 32467 AVESIS

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