Kozakiewicz, Richard T
Kozakiewicz, Richard T is an individual health care provider with primary practice located at 120 Village Dr , Greensburg PA 15601-3707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Kozakiewicz, Richard T can be contacted via phone (724) 836-7590.Contact Information
Primary practice address
120 Village Dr
Greensburg PA 15601-3707
Phone: (724) 836-7590
Fax: (724) 836-7570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD060641L | Pennsylvania |
Profile Details
| NPI number | 1275579864 |
|---|---|
| LBN Legal business name | Kozakiewicz, Richard T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jul 15th, 2022 - about 4 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 | 1275579864 | NPPES |
| Pennsylvania | MEDICAID | 01643678 |
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