Konopka, John
Konopka, John is an sole proprietor health care provider with primary practice located at 485 Emerson Dr , Myrtle Beach SC 29579-5291. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation is his primary health care specialty. Konopka, John can be contacted via phone (843) 424-1690.Contact Information
Primary practice address
485 Emerson Dr
Myrtle Beach SC 29579-5291
Phone: (843) 424-1690
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2472 | South Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation | 225XP0019X | 2472 | South Carolina |
Profile Details
| NPI number | 1700828068 |
|---|---|
| LBN Legal business name | Konopka, John |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Feb 7th, 2020 - about 4 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 | 1700828068 | NPPES |
| South Carolina | MEDICAID | TH1581 |
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