Kostelecky, Jon Michael

Kostelecky, Jon Michael is an sole proprietor health care provider with primary practice located at 383 15Th St W , Dickinson ND 58601-3017. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kostelecky, Jon Michael can be contacted via phone (701) 225-3536.

Contact Information

Primary practice address
383 15Th St W Dickinson ND 58601-3017
Phone: (701) 225-3536
Fax: (701) 483-7582
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 555 North Dakota

Profile Details

NPI number 1720139132
LBN Legal business name Kostelecky, Jon Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2007
Last updated Jul 8th, 2007 - about 19 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 1720139132 NPPES
North Dakota Other KOS 18901 BLUECROSS BLUESHIELD
North Dakota MEDICAID 17849 BLUECROSS BLUESHIELD

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