Konopka, John

Konopka, John is an sole proprietor health care provider with primary practice located at 485 Emerson Dr , Myrtle Beach SC 29579-5291. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation is his primary health care specialty. Konopka, John can be contacted via phone (843) 424-1690.

Contact Information

Primary practice address
485 Emerson Dr Myrtle Beach SC 29579-5291
Phone: (843) 424-1690
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2472 South Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 2472 South Carolina

Profile Details

NPI number 1700828068
LBN Legal business name Konopka, John
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Feb 7th, 2020 - about 6 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 1700828068 NPPES
South Carolina MEDICAID TH1581

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