Kosunick, Josephine Mangoni

Kosunick, Josephine Mangoni is an individual health care provider with primary practice located at 1261 W Royalton Rd , Broadview Heights OH 44147-2407. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kosunick, Josephine Mangoni can be contacted via phone (440) 526-7070.

Contact Information

Primary practice address
1261 W Royalton Rd Broadview Heights OH 44147-2407
Phone: (440) 526-7070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5326 Ohio

Profile Details

NPI number 1477549764
LBN Legal business name Kosunick, Josephine Mangoni
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated May 17th, 2023 - about 3 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 1477549764 NPPES
Ohio Other 000000282518 ANTHEM BC/BS PROVIDER #
Ohio Other 000000503349 ANTHEM BC/BS PROVIDER #
Ohio Other 200669 ANTHEM BC/BS PROVIDER #
Ohio MEDICAID 2714585 ANTHEM BC/BS PROVIDER #
Ohio Other 201924453027 ANTHEM BC/BS PROVIDER #
Ohio Other 7346559 ANTHEM BC/BS PROVIDER #
Ohio Other 000000503347 ANTHEM BC/BS PROVIDER #
Ohio Other 270701075006 ANTHEM BC/BS PROVIDER #
Ohio Other 7346559 ANTHEM BC/BS PROVIDER #
Ohio Other R5326 ANTHEM BC/BS PROVIDER #
Ohio Other 2006698 ANTHEM BC/BS PROVIDER #

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