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
Fax: (864) 442-0774
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417928243 NPPES
South Carolina MEDICAID GP3506

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