Zawislak, Thaddeus G.

Zawislak, Thaddeus G. is an individual health care provider with primary practice located at 161 E Bissell Ave , Oil City PA 16301-1972. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Zawislak, Thaddeus G. can be contacted via phone (814) 677-1341.

Contact Information

Primary practice address
161 E Bissell Ave Oil City PA 16301-1972
Phone: (814) 677-1341
Fax: (814) 676-6627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS026933L Pennsylvania

Profile Details

NPI number 1063499986
LBN Legal business name Zawislak, Thaddeus G.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Aug 11th, 2014 - 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 1063499986 NPPES
Pennsylvania MEDICAID 0011797170002

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