Boltruczyk, Tomasz
Boltruczyk, Tomasz is an sole proprietor health care provider with primary practice located at 1160 Brandenburg Station Rd , Fort Knox KY 40121-4211. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Boltruczyk, Tomasz can be contacted via phone (254) 338-7481.Contact Information
Primary practice address
1160 Brandenburg Station Rd
Fort Knox KY 40121-4211
Phone: (254) 338-7481
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209029481 | Illinois |
Profile Details
| NPI number | 1093564411 |
|---|---|
| LBN Legal business name | Boltruczyk, Tomasz |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2024 |
| Last updated | May 17th, 2024 - about 4 months 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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