Kotlove, Dennis J
Kotlove, Dennis J is an individual health care provider with primary practice located at 214 King St , Ogdensburg NY 13669-1142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Kotlove, Dennis J can be contacted via phone (315) 713-6220.Contact Information
Primary practice address
214 King St
Ogdensburg NY 13669-1142
Phone: (315) 713-6220
Fax: (315) 393-3873
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 172093 | New York |
Profile Details
| NPI number | 1790764249 |
|---|---|
| LBN Legal business name | Kotlove, Dennis J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Apr 13th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790764249 | NPPES |
| New York | MEDICAID | 01194898 |
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