Dvorak, John T
Dvorak, John T is an individual health care provider with primary practice located at 2620 Wilhite Dr , Lexington KY 40503-3385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Dvorak, John T can be contacted via phone (859) 278-6031.Contact Information
Primary practice address
2620 Wilhite Dr
Lexington KY 40503-3385
Phone: (859) 278-6031
Fax: (859) 277-7015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 36525 | Kentucky |
Profile Details
| NPI number | 1902807985 |
|---|---|
| LBN Legal business name | Dvorak, John T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Sep 24th, 2010 - about 14 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 | 1902807985 | NPPES |
| Kentucky | MEDICAID | 64035256 |
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