Kostelic, Phillip Martin

Kostelic, Phillip Martin is an individual health care provider with primary practice located at 145 Kimel Park Dr Ste 120 , Winston Salem NC 27103-6983. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Kostelic, Phillip Martin can be contacted via phone (336) 768-3212.

Contact Information

Primary practice address
145 Kimel Park Dr Ste 120 Winston Salem NC 27103-6983
Phone: (336) 768-3212
Fax: (336) 768-9019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 237835 North Carolina

Profile Details

NPI number 1336643535
LBN Legal business name Kostelic, Phillip Martin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2018
Last updated Jul 1st, 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.

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