Kozlow, Daniel B
Kozlow, Daniel B is an individual health care provider with primary practice located at 23874 Kean St # 130 , Dearborn MI 48124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kozlow, Daniel B can be contacted via phone (313) 626-0909.Contact Information
Primary practice address
23874 Kean St # 130
Dearborn MI 48124
Phone: (313) 626-0909
Fax: (135) 515-6883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 5307000624 | Michigan |
Profile Details
| NPI number | 1811968001 |
|---|---|
| LBN Legal business name | Kozlow, Daniel B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jan 13th, 2020 - about 6 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 | 1811968001 | NPPES |
| Michigan | MEDICAID | 4243947 |
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