Kotowski, Jacek

Kotowski, Jacek is an individual health care provider with primary practice located at 700 W Kent Ave , Missoula MT 59801-6772. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Kotowski, Jacek can be contacted via phone (406) 541-3937.

Contact Information

Primary practice address
700 W Kent Ave Missoula MT 59801-6772
Phone: (406) 541-3937
Fax: (406) 541-3811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 49655 Montana
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 49655 Montana

Profile Details

NPI number 1134451487
LBN Legal business name Kotowski, Jacek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2010
Last updated Sep 26th, 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 1134451487 NPPES
Montana MEDICAID 1134451487

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