Wozniak, Richard S

Wozniak, Richard S is an individual health care provider with primary practice located at 1086 Franklin St , Johnstown PA 15905-4305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wozniak, Richard S can be contacted via phone (814) 534-9106.

Contact Information

Primary practice address
1086 Franklin St Johnstown PA 15905-4305
Fax: (814) 534-3136
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD034065E Pennsylvania

Profile Details

NPI number 1396739744
LBN Legal business name Wozniak, Richard S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Apr 30th, 2013 - about 11 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 1396739744 NPPES
Pennsylvania MEDICAID 0010852090001

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