Przystawski, Brian

Przystawski, Brian is an sole proprietor health care provider with primary practice located at 4119 Browns Ln Bldg 2, Louisville KY 40220-1500. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Przystawski, Brian can be contacted via phone (502) 454-4187.

Contact Information

Primary practice address
4119 Browns Ln Bldg 2 Louisville KY 40220-1500
Phone: (502) 454-4187
Fax: (502) 454-4235
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07000635 Indiana
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 195 Kentucky

Profile Details

NPI number 1982689949
LBN Legal business name Przystawski, Brian
Credentials DPM, PSC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2005
Last updated Feb 21st, 2014 - about 10 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 1982689949 NPPES
Kentucky MEDICAID 1054641
Kentucky Other 611327502
Kentucky Other 611327502
Kentucky Other 000000051908
Kentucky MEDICAID 80001951
Kentucky Other 000000051908
Kentucky Other 000000051908
Kentucky Other 215680
Kentucky Other 480027403
Kentucky Other 9209
Kentucky Other 000000051908
Kentucky Other 2433700000

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