Karolczak, Pawel Gregorz
Karolczak, Pawel Gregorz is an individual health care provider with primary practice located at 907 E Lamar Alexander Pkwy , Maryville TN 37804-5015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Karolczak, Pawel Gregorz can be contacted via phone (865) 977-4719.Contact Information
Primary practice address
907 E Lamar Alexander Pkwy
Maryville TN 37804-5015
Phone: (865) 977-4719
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29744 | Tennessee |
Profile Details
| NPI number | 1639116999 |
|---|---|
| LBN Legal business name | Karolczak, Pawel Gregorz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Dec 22nd, 2008 - about 18 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 | 1639116999 | NPPES |
| Tennessee | Other | 4153906 | BLUE CROSS |
| Tennessee | Other | 4116675 | BLUE CROSS |
| Tennessee | MEDICAID | 3819874 | BLUE CROSS |
| Tennessee | MEDICAID | 3819875 | BLUE CROSS |
| Tennessee | Other | P00322440 | BLUE CROSS |
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