Koriwchak, Michael John
Koriwchak, Michael John is an individual health care provider with primary practice located at 5673 Peachtree Dunwoody Rd Ste 150, Atlanta GA 30342-1731. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Koriwchak, Michael John can be contacted via phone (404) 297-1780.Contact Information
Primary practice address
5673 Peachtree Dunwoody Rd Ste 150
Atlanta GA 30342-1731
Phone: (404) 297-1780
Fax: (404) 252-7255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 040130 | Georgia |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207YS0012X | 040130 | Georgia |
Profile Details
| NPI number | 1720085756 |
|---|---|
| LBN Legal business name | Koriwchak, Michael John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Feb 1st, 2017 - 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 | 1720085756 | NPPES |
| Georgia | MEDICAID | 00663935AF | |
| Georgia | Other | 5576015 | |
| Georgia | Other | 52448442 | |
| Georgia | Other | 8306705 |
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