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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1932108719 NPPES
Georgia MEDICAID 00586561A
Georgia Other 142553

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