Pierzchajlo, Richard Joseph
Pierzchajlo, Richard Joseph is an individual health care provider with primary practice located at 1489 Kennedy Rd , Tifton GA 31794-4159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pierzchajlo, Richard Joseph can be contacted via phone (229) 391-9931.Contact Information
Primary practice address
1489 Kennedy Rd
Tifton GA 31794-4159
Phone: (229) 391-9931
Fax: (229) 391-9961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 022620 | Georgia |
Profile Details
| NPI number | 1639175680 |
|---|---|
| LBN Legal business name | Pierzchajlo, Richard Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Nov 29th, 2010 - about 15 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 | 1639175680 | NPPES |
| Georgia | MEDICAID | 000232647G |
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