Ambroziak, Donald L.

Ambroziak, Donald L. is an sole proprietor health care provider with primary practice located at 141 Prosperous Pl Suite 22A, Lexington KY 40509-1854. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ambroziak, Donald L. can be contacted via phone (859) 263-2230.

Contact Information

Primary practice address
141 Prosperous Pl Suite 22A Lexington KY 40509-1854
Phone: (859) 263-2230
Fax: (859) 263-8641
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00148 Kentucky

Profile Details

NPI number 1952363764
LBN Legal business name Ambroziak, Donald L.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2006
Last updated Dec 6th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952363764 NPPES
Kentucky MEDICAID 80903784
Kentucky MEDICAID 80001480

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