Patlak, Johann Nikolas

Patlak, Johann Nikolas is an sole proprietor health care provider with primary practice located at 330 Brookline Ave , Boston MA 02215-5400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Patlak, Johann Nikolas can be contacted via phone (617) 667-3112.

Contact Information

Primary practice address
330 Brookline Ave Boston MA 02215-5400
Phone: (617) 667-3112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 269792 Massachusetts
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 269792 Massachusetts
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X MD16257 Rhode Island
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD16257 Rhode Island

Profile Details

NPI number 1871868075
LBN Legal business name Patlak, Johann Nikolas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2012
Last updated Feb 20th, 2023 - about last year

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 1871868075 NPPES
Massachusetts MEDICAID 110121258A

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