Kudlak, John J
Kudlak, John J is an individual health care provider with primary practice located at 200 Patewood Dr Suite B300, Greenville SC 29615-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Kudlak, John J can be contacted via phone (864) 454-4200.Contact Information
Primary practice address
200 Patewood Dr Suite B300
Greenville SC 29615-3593
Phone: (864) 454-4200
Fax: (864) 454-4205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 714 | South Carolina |
Profile Details
| NPI number | 1023064847 |
|---|---|
| LBN Legal business name | Kudlak, John J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Sep 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023064847 | NPPES |
| South Carolina | Other | P00265774 | RR MEDICARE |
| South Carolina | Other | P00801525 | RR MEDICARE |
| South Carolina | MEDICAID | 007147 | RR MEDICARE |
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