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Contact Information

DOUGLAS S COSLETT, MD
2455 BACK MOUNTAIN RD
SCOTRUN, PA18355-7758
 Phone: 579-243-8957
 Fax: 570-243-8890
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for DOUGLAS S COSLETT · (Male)

NPI # 1578556924
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2005
Last updated 02/05/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD045458L
  • PA Medicaid 0014098620009
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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