Krakow, Richard A
Krakow, Richard A is an sole proprietor health care provider with primary practice located at 11685 Alpharetta Hwy 200, Roswell GA 30076-4910. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Krakow, Richard A can be contacted via phone (770) 442-3328.Contact Information
Primary practice address
11685 Alpharetta Hwy 200
Roswell GA 30076-4910
Phone: (770) 442-3328
Fax: (770) 664-6781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 016377 | Georgia |
Profile Details
| NPI number | 1932108719 |
|---|---|
| LBN Legal business name | Krakow, Richard A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Jun 24th, 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 | 1932108719 | NPPES |
| Georgia | MEDICAID | 00586561A | |
| Georgia | Other | 142553 |
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