Kossover, Stuart Allan
Kossover, Stuart Allan is an individual health care provider with primary practice located at 2311 Lewisville Clemmons Rd , Clemmons NC 27012-8905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kossover, Stuart Allan can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
2311 Lewisville Clemmons Rd
Clemmons NC 27012-8905
Phone: (336) 716-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36753 | North Carolina |
Profile Details
| NPI number | 1942317458 |
|---|---|
| LBN Legal business name | Kossover, Stuart Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jan 23rd, 2014 - about 12 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 | 1942317458 | NPPES |
| Other | 191498 | MEDCOST | |
| Other | 4339028 | MEDCOST | |
| Other | 562120765 | MEDCOST | |
| Other | P00407181 | MEDCOST | |
| Other | 4113 | MEDCOST | |
| Other | 50201 | MEDCOST | |
| Other | 0489412 | MEDCOST | |
| MEDICAID | 8950201 | MEDCOST |
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