Jennifer L Kozak in St Clair Shores - Family

Jennifer L Kozak - NPI 1801866124

Jennifer L Kozak is a Family in St Clair Shores, Michigan. Jennifer L Kozak practices all healthcare services and medical treatments related to Family. The NPI Number for Jennifer L Kozak is 1801866124. The last update date is 2008-08-06.

Jennifer L Kozak's current location address is 28963 Little Mack, St Clair Shores, Michigan. You can contact this provider via phone number 5864470700 and fax number 5864980707. The mailing address for Jennifer L Kozak is 28963 Little Mack, St Clair Shores, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer L Kozak
Address 28963 Little Mack, St Clair Shores, Michigan
Phone Number 5864470700
Fax Number 5864980707
Sole Proprietor N
Credentials NPC

NPI Number Detail

NPI Number 1801866124
Provider Enumeration Date 2006-01-26
Last Updated Date 2008-08-06

Provider Mailing Address Detail

Address 28963 Little Mack
City St Clair Shores
State Michigan (MI)
Post Code 48081
Phone Number 5864470700
Fax Number 5864980707

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 4704191405
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Jennifer L Kozak

What is the unique identifier code issued to Jennifer L Kozak by the Centers for Medicare & Medicaid Services?

The Jennifer L Kozak has been assigned the NPI (National Provider Identifier) 1801866124. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jennifer L Kozak is geographically located?

The Jennifer L Kozak is physically situated at the following location: 28963 Little Mack, St Clair Shores, MI, 48081.

What is Jennifer L Kozak's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jennifer L Kozak's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.

On what date was the 1801866124 assigned to Jennifer L Kozak?

The Jennifer L Kozak was issued its 1801866124 on 2006-01-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Jennifer L Kozak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jennifer L Kozak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-06.

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