Oprysko, John L
Oprysko, John L is an sole proprietor health care provider with primary practice located at 4445 Cowan Rd , Tucker GA 30084-4829. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Oprysko, John L can be contacted via phone (770) 938-0275.Contact Information
Primary practice address
4445 Cowan Rd
Tucker GA 30084-4829
Phone: (770) 938-0275
Fax: (770) 939-6225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 034211 | Georgia |
Profile Details
| NPI number | 1700849874 |
|---|---|
| LBN Legal business name | Oprysko, John L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Oct 20th, 2010 - about 14 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 | 1700849874 | NPPES |
| Georgia | MEDICAID | 00476616B |
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