Andrezik, Joseph Albert

Andrezik, Joseph Albert is an individual health care provider with primary practice located at 5200 E I 240 Service Rd , Oklahoma City OK 73135-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Andrezik, Joseph Albert can be contacted via phone (405) 628-6000.

Contact Information

Primary practice address
5200 E I 240 Service Rd Oklahoma City OK 73135-2607
Fax: (512) 428-4923
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 16485 Oklahoma

Profile Details

NPI number 1447216080
LBN Legal business name Andrezik, Joseph Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Jan 30th, 2019 - about 5 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 1447216080 NPPES
Oklahoma MEDICAID 100058660A

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