Pryka, Eugene Thomas

Pryka, Eugene Thomas is an individual health care provider with primary practice located at 500A Sentinel Island Ave , Kodiak AK 99615-6849. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Pryka, Eugene Thomas can be contacted via phone (602) 570-8173.

Contact Information

Primary practice address
500A Sentinel Island Ave Kodiak AK 99615-6849
Phone: (602) 570-8173
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1235800749
LBN Legal business name Pryka, Eugene Thomas
Credentials INDEPENDENT DUTY HS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2021
Last updated Sep 23rd, 2021 - about 3 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 1235800749 NPPES
Arizona Other D03353518 TRICARE

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