Ozimek, Thaddeus Paul

Ozimek, Thaddeus Paul is an sole proprietor health care provider with primary practice located at 4500 Stuart Street Moncrief Army Community Hospital, Fort Jackson SC 29207-5720. He recently has only one registered license in Hospital Units / Psychiatric Unit, which is considered as his primary health care specialty. Ozimek, Thaddeus Paul can be contacted via phone (803) 751-2157.

Contact Information

Primary practice address
4500 Stuart Street Moncrief Army Community Hospital Fort Jackson SC 29207-5720
Fax: (803) 751-2650
Website:

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X MD026757E Pennsylvania

Profile Details

NPI number 1598854507
LBN Legal business name Ozimek, Thaddeus Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Jul 8th, 2007 - about 17 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 1598854507 NPPES
Pennsylvania Other MD026757E STATE LICENSE

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