Prawak, Adriana S

Prawak, Adriana S is an individual health care provider with primary practice located at 525 W Chester Pike Suite 203, Havertown PA 19083-4539. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Prawak, Adriana S can be contacted via phone (610) 789-7767.

Contact Information

Primary practice address
525 W Chester Pike Suite 203 Havertown PA 19083-4539
Fax: (610) 789-7768
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X OS009727L Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X OS009727L Pennsylvania

Profile Details

NPI number 1801824354
LBN Legal business name Prawak, Adriana S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Apr 4th, 2012 - about 13 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 1801824354 NPPES
Pennsylvania MEDICAID 0018475700003

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