Pachulski, Roman Thomas
Pachulski, Roman Thomas is an individual health care provider with primary practice located at 30 Harrison St Suite 250, Johnson City NY 13790-2161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Pachulski, Roman Thomas can be contacted via phone (607) 770-8600.Contact Information
Primary practice address
30 Harrison St Suite 250
Johnson City NY 13790-2161
Phone: (607) 770-8600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | L9413 | Texas |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 220668 | New York |
Profile Details
| NPI number | 1932105566 |
|---|---|
| LBN Legal business name | Pachulski, Roman Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Sep 7th, 2016 - 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 | 1932105566 | NPPES |
| Texas | MEDICAID | 170134403 | |
| Texas | Other | 8S9790 | |
| Texas | Other | 0035MW | |
| Texas | MEDICAID | 177066101 |
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