Horak, Jiri George

Horak, Jiri George is an individual health care provider with primary practice located at 3400 Spruce Street 4 Dulles Building, Philadelphia PA 19104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Horak, Jiri George can be contacted via phone (215) 349-8310.

Contact Information

Primary practice address
3400 Spruce Street 4 Dulles Building Philadelphia PA 19104
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X MD069426L Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD069426L Pennsylvania

Profile Details

NPI number 1881636579
LBN Legal business name Horak, Jiri George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated May 1st, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881636579 NPPES
Pennsylvania MEDICAID 0018804940001

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