| Coslow & Associates Ltd | |
|
4656 W Jefferson Blvd Suite 285 Fort Wayne IN 46804-6857 | |
| (260) 422-9372 | |
| (260) 422-0843 |
| Full Name | Coslow & Associates Ltd |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4656 W Jefferson Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Carl Richard Coslow (OWNER PRESIDENT) |
| Authorized Official Contact | 2604229372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coslow & Associates Ltd 4656 W Jefferson Blvd Suite 285 Fort Wayne IN 46804-6857 Ph: (260) 422-9372 | Coslow & Associates Ltd 4656 W Jefferson Blvd Suite 285 Fort Wayne IN 46804-6857 Ph: (260) 422-9372 |
| NPI Number | 1457459844 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 12/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457459844 | NPI | - | NPPES |
| 000000143216 | Other | IN | ANTHEM |
| 075209000 | Other | IN | MAGELLAN |
| 280482 | Other | IN | VALUE OPTIONS |
| 200806690A | Medicaid | IN | |
| 4405313 | Other | IN | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34000209A (Indiana) | Primary |
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