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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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