Prostko, Thomas Richard
Prostko, Thomas Richard is an sole proprietor health care provider with primary practice located at 403 Hillcrest Dr Suite A, Easley SC 29640-1207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Prostko, Thomas Richard can be contacted via phone (864) 442-0771.Contact Information
Primary practice address
403 Hillcrest Dr Suite A
Easley SC 29640-1207
Phone: (864) 442-0771
Fax: (864) 442-0774
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 13970 | South Carolina |
Profile Details
NPI number | 1417928243 |
---|---|
LBN Legal business name | Prostko, Thomas Richard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 30th, 2006 |
Last updated | Jul 23rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417928243 | NPPES |
South Carolina | MEDICAID | GP3506 |
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