Dr. Merrick Douglas Kozak
Dermatologist
1221 Lee St
Charlottesville
, Virginia 22908-5051
Dr. Merrick Douglas Kozak
Dermatologist
1221 Lee St
Charlottesville
, Virginia 22908-5051
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Merrick Douglas Kozak
- Po Box 9007
- Charlottesville, VA
- Zip : 22906-9007
- Phone :
Second Address
- Dr. Merrick Douglas Kozak
- 1221 Lee St
- Charlottesville, VA
- Zip : 22908-5051
- Fax : (434) 244-4504
- Phone : (434) 924-5115
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Is Dr. Merrick Douglas Kozak a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 0101272020 | VA |
National Provider Identifier
| NPI | 1003342775 |
|---|---|
| Provider Name | Dr. Merrick Douglas Kozak |
| First Address | Charlottesville, VA 22906-9007 |
| Second Address | Charlottesville, VA 22908-5051 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2017 |
| Last Update Date | 02/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.