Kostelak, Mark P

Kostelak, Mark P is an sole proprietor health care provider with primary practice located at Southeast Louisiana Veterans Health Care System 2400 Canal Street, New Orleans LA 70119. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as his primary health care specialty. Kostelak, Mark P can be contacted via phone (504) 784-5364.

Contact Information

Primary practice address
Southeast Louisiana Veterans Health Care System 2400 Canal Street New Orleans LA 70119
Phone: (504) 784-5364
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X PEF.200076

Profile Details

NPI number 1578161105
LBN Legal business name Kostelak, Mark P
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2020
Last updated Oct 15th, 2020 - about 6 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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