Kotoske, Thomas G
Kotoske, Thomas G is an individual health care provider with primary practice located at 19636 N 27Th Ave #101, Phoenix AZ 85027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is his primary health care specialty. Kotoske, Thomas G can be contacted via phone (623) 516-2639.Contact Information
Primary practice address
19636 N 27Th Ave #101
Phoenix AZ 85027
Phone: (623) 516-2639
Fax: (623) 580-0019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 3065 | Arizona |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 3065 | Arizona |
Profile Details
| NPI number | 1861571960 |
|---|---|
| LBN Legal business name | Kotoske, Thomas G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861571960 | NPPES |
| Arizona | MEDICAID | 329145 |
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