Kozlak, Nicole

Kozlak, Nicole is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-8063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Kozlak, Nicole can be contacted via phone (860) 679-3899.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-8063
Phone: (860) 679-3899
Fax: (860) 676-3476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5292 Connecticut

Profile Details

NPI number 1386215390
LBN Legal business name Kozlak, Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2021
Last updated Sep 26th, 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.

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