Prologo, John David

Prologo, John David is an individual health care provider with primary practice located at 1364 Clifton Road Ne Suite D111, Atlanta GA 30322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Prologo, John David can be contacted via phone (404) 712-7033.

Contact Information

Primary practice address
1364 Clifton Road Ne Suite D111 Atlanta GA 30322
Phone: (404) 712-7033
Fax: (404) 712-7970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 72294 Georgia

Profile Details

NPI number 1558308379
LBN Legal business name Prologo, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Apr 28th, 2015 - about 9 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 1558308379 NPPES
Ohio Other 000000230982 UNISON
Ohio Other 000000516404 UNISON
Ohio Other 389288 UNISON
Ohio Other 752765 UNISON
Ohio MEDICAID 2691823 UNISON
Ohio Other 9808106 UNISON
Ohio Other P00420609 UNISON

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