DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1427067651

NPI Code Detail

MEDICARE: STANISLAWA KRYSTYNA KOCZOROWSKA MD

MEDICARE: STANISLAWA KRYSTYNA KOCZOROWSKA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	01033960	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7275	OTHER		PHP
2	000000093825	OTHER		BLUE SHIELD
3	87726	OTHER		UNITED HEALTH CARE

General Provider Information

NPI Number	:	1427067651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STANISLAWA KRYSTYNA KOCZOROWSKA MD

Provider Business Mailing Address
First Line	:	PO BOX 727
Second Line	:
City	:	KENDALLVILLE
State	:	IN
Zip	:	46755-0727
Country	:	US
Telephone Number	:	260-343-0797
Fax Number	:	260-343-0799

Provider Business Practice Location Address
First Line	:	727 E NORTH ST
Second Line	:
City	:	KENDALLVILLE
State	:	IN
Zip	:	46755-1225
Country	:	US
Telephone Number	:	260-343-0797
Fax Number	:	260-343-0799

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1003811860 — ROBERT ALAN ROUSH O.D.
Practice Location Address:

781 E NORTH STREET
KENDALLVILLE, IN
46755-1225

Practice Phone: 260-347-3458
Practice Fax: 260-347-4425

1710982475 — DR. MATTHEW S WILL O.D.
Practice Location Address:

781 E NORTH STREET
KENDALLVILLE, IN
46755-1225

Practice Phone: 260-347-3458
Practice Fax: 260-347-4425

1578613295 — DRS. ROUSH & WILL OPTOMETRISTS INC
Practice Location Address:

781 E. NORTH ST
KENDALLVILLE, IN
46755-1225

Practice Phone: 260-347-3611
Practice Fax: 260-347-4425

1275656209 — DRS. ROUSH & WILL OPTOMETRISTS, INC.
Practice Location Address:

781 E. NORTH ST.
KENDALLVILLE, IN
46755-1225

Practice Phone: 260-347-3458
Practice Fax: 260-347-4425

1336451640 — ELIZABETH JANE ROUSH O.D.
Practice Location Address:

781 E NORTH ST
KENDALLVILLE, IN
46755-1225

Practice Phone: 260-347-3458
Practice Fax: 260-347-4425

1720392020 — CRAIG MICHAEL LICHLYTER O.D.
Practice Location Address:

781 E NORTH ST
KENDALLVILLE, IN
46755-1225

Practice Phone: 260-347-3458
Practice Fax: 260-347-4425

Directions to “ STANISLAWA KRYSTYNA KOCZOROWSKA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.