Krzyston, Mark Joseph
Krzyston, Mark Joseph is an sole proprietor health care provider with primary practice located at 1175 Cook Rd Ste 225, Orangeburg SC 29118-8201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Krzyston, Mark Joseph can be contacted via phone (803) 534-8723.Contact Information
Primary practice address
1175 Cook Rd Ste 225
Orangeburg SC 29118-8201
Phone: (803) 534-8723
Fax: (803) 536-0030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | SC12677 | South Carolina |
Profile Details
| NPI number | 1508923194 |
|---|---|
| LBN Legal business name | Krzyston, Mark Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jan 12th, 2015 - about 10 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 | 1508923194 | NPPES |
| South Carolina | MEDICAID | PA4003 |
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