Barak, Andrew Paul

Barak, Andrew Paul is an sole proprietor health care provider with primary practice located at 6130 Prestley Mill Rd Ste C , Douglasville GA 30134-2288. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Barak, Andrew Paul can be contacted via phone (678) 838-3903.

Contact Information

Primary practice address
6130 Prestley Mill Rd Ste C Douglasville GA 30134-2288
Phone: (678) 838-3903
Fax: (678) 838-7454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X AB007458 Michigan
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 67354 Georgia

Profile Details

NPI number 1508824152
LBN Legal business name Barak, Andrew Paul
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Apr 20th, 2022 - about 2 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 1508824152 NPPES
Georgia MEDICAID 003126984D
Georgia MEDICAID 2121408
Georgia Other 0454110994

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