Baranchok, John Scott
Baranchok, John Scott is an sole proprietor health care provider with primary practice located at 504 Riverside Pkwy Ne Suite 300, Rome GA 30161-2982. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Baranchok, John Scott can be contacted via phone (706) 290-0535.Contact Information
Primary practice address
504 Riverside Pkwy Ne Suite 300
Rome GA 30161-2982
Phone: (706) 290-0535
Fax: (706) 290-1421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 2010 | Georgia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY002010 | Georgia |
Profile Details
| NPI number | 1578542510 |
|---|---|
| LBN Legal business name | Baranchok, John Scott |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Jun 24th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578542510 | NPPES |
| Georgia | MEDICAID | 000793174C |
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