Ptakowski, George Anthony
Ptakowski, George Anthony is an individual health care provider with primary practice located at Po Box 147 , Pocono Lake PA 18347-0147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ptakowski, George Anthony can be contacted via phone (570) 646-6905.Contact Information
Primary practice address
Po Box 147
Pocono Lake PA 18347-0147
Phone: (570) 646-6905
Fax: (570) 646-6009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD040378-L | Pennsylvania |
Profile Details
| NPI number | 1013027861 |
|---|---|
| LBN Legal business name | Ptakowski, George Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jan 8th, 2019 - about 5 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 | 1013027861 | NPPES |
| Pennsylvania | MEDICAID | 01158190 |
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