Kotlarczyk, Jaroslaw J

Kotlarczyk, Jaroslaw J is an sole proprietor health care provider with primary practice located at 1211 24Th St , Anacortes WA 98221-2562. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kotlarczyk, Jaroslaw J can be contacted via phone (360) 293-3181.

Contact Information

Primary practice address
1211 24Th St Anacortes WA 98221-2562
Phone: (360) 293-3181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD33166 Washington
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD2006-0737 New Mexico
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 45127 Colorado

Profile Details

NPI number 1972661296
LBN Legal business name Kotlarczyk, Jaroslaw J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Oct 6th, 2010 - about 15 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 1972661296 NPPES
Washington MEDICAID 8212029
Washington Other 0114KO

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