Konsek, John David

Konsek, John David is an individual health care provider with primary practice located at 160 Academy Ave , Greenwood SC 29646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Konsek, John David can be contacted via phone (864) 223-8090.

Contact Information

Primary practice address
160 Academy Ave Greenwood SC 29646
Fax: (864) 223-4026
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 21187 South Carolina

Profile Details

NPI number 1639285083
LBN Legal business name Konsek, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Nov 29th, 2011 - about 14 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 1639285083 NPPES
South Carolina MEDICAID GP5280

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