Koralnik, Igor J
Koralnik, Igor J is an sole proprietor health care provider with primary practice located at 330 Brookline Ave E/Cls-1005, Boston MA 02215-5400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Koralnik, Igor J can be contacted via phone (617) 735-4460.Contact Information
Primary practice address
330 Brookline Ave E/Cls-1005
Boston MA 02215-5400
Phone: (617) 735-4460
Fax: (617) 735-4527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036.140561 | Illinois |
Profile Details
| NPI number | 1770525578 |
|---|---|
| LBN Legal business name | Koralnik, Igor J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Sep 12th, 2019 - about 7 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 | 1770525578 | NPPES |
| Massachusetts | MEDICAID | 3167003 |
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