Michael Edward Kossak
Periodontist
1234 19th St Nw Suite # 308
Washington
, District of Columbia 20036-2407
Michael Edward Kossak
Periodontist
1234 19th St Nw Suite # 308
Washington
, District of Columbia 20036-2407
(202) 293-1914
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Michael Edward Kossak
- 1234 19th St Nw Suite # 308
- Washington, DC
- Zip : 20036-2407
- Fax : (202) 293-1914
- Phone : (202) 393-6154
Second Address
- Michael Edward Kossak
- 1234 19th St Nw Suite # 308
- Washington, DC
- Zip : 20036-2407
- Fax : (202) 293-1914
- Phone : (202) 393-6154
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 3052 | DC |
National Provider Identifier
| NPI | 1083644892 |
|---|---|
| Provider Name | Michael Edward Kossak |
| First Address | Washington, DC 20036-2407 |
| Second Address | Washington, DC 20036-2407 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2006 |
| Last Update Date | 08/07/2007 |
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.