Prusaczyk, Joseph
Prusaczyk, Joseph is an individual health care provider with primary practice located at 13035 Olive Blvd , Saint Louis MO 63141-6173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Prusaczyk, Joseph can be contacted via phone (314) 434-3114.Contact Information
Primary practice address
13035 Olive Blvd
Saint Louis MO 63141-6173
Phone: (314) 434-3114
Fax: (314) 434-3117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 31728 | Missouri |
Profile Details
| NPI number | 1730295759 |
|---|---|
| LBN Legal business name | Prusaczyk, Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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