Ouderkirk, John P

Ouderkirk, John P is an individual health care provider with primary practice located at 735 Piedmont Ave Ne , Atlanta GA 30308-1416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Ouderkirk, John P can be contacted via phone (404) 588-4680.

Contact Information

Primary practice address
735 Piedmont Ave Ne Atlanta GA 30308-1416
Phone: (404) 588-4680
Fax: (404) 588-4692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 049992 Georgia

Profile Details

NPI number 1548260508
LBN Legal business name Ouderkirk, John P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 27th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548260508 NPPES
Georgia Other 453538 CHAMPUS
Georgia Other 7439283 CHAMPUS
Georgia Other 8625897001 CHAMPUS
Georgia Other 440003559 CHAMPUS
Georgia MEDICAID 000926318A CHAMPUS
Georgia Other 2647814 CHAMPUS
Georgia Other 7439283 CHAMPUS

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