Ambrozak, Earl
Ambrozak, Earl is an sole proprietor health care provider with primary practice located at 1111 Fennimore St , Fairmont WV 26554-1538. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Ambrozak, Earl can be contacted via phone (304) 365-2322.Contact Information
Primary practice address
1111 Fennimore St
Fairmont WV 26554-1538
Phone: (304) 365-2322
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 001884 | West Virginia |
Profile Details
NPI number | 1578273538 |
---|---|
LBN Legal business name | Ambrozak, Earl |
Credentials | Physical Therapist Assistant (PTA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 30th, 2022 |
Last updated | Nov 30th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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