Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 35042855 | OH |
N | 207RC0200X | Critical Care Medicine | 35042855 | OH |
N | 207RP1001X | Pulmonary Disease | 35042855 | OH |
NPI | 1093796294 |
---|---|
Provider Name | Robert Erik Kose |
First Address | Perrysburg, OH 43551-3429 |
Second Address | Perrysburg, OH 43551-3429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 27/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04485194 | (05) | OH |
0536714 | MEDICARE PROVIDER SOLUTIONS (01) | OH |
810000671 | MEDICARE RAILROAD (01) | OH |
CO2592 | (02) |