Koziczkowski, Rachel Ade

Koziczkowski, Rachel Ade is an individual health care provider with primary practice located at 870 36Th Ave , Moline IL 61265-7159. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Koziczkowski, Rachel Ade can be contacted via phone (309) 623-7100.

Contact Information

Primary practice address
870 36Th Ave Moline IL 61265-7159
Fax: (309) 623-7079
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036.140268 Illinois

Profile Details

NPI number 1720306590
LBN Legal business name Koziczkowski, Rachel Ade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2010
Last updated Oct 30th, 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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