Porubsky, Edward A

Porubsky, Edward A is an individual health care provider with primary practice located at 340 N Belair Rd , Evans GA 30809-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Porubsky, Edward A can be contacted via phone (706) 868-5676.

Contact Information

Primary practice address
340 N Belair Rd Evans GA 30809-3000
Phone: (706) 868-5676
Fax: (706) 722-2824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 053019 Georgia

Profile Details

NPI number 1043286313
LBN Legal business name Porubsky, Edward A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jan 6th, 2010 - about 16 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 1043286313 NPPES
Georgia Other 952703 BLUE CROSS
Georgia Other 157315300 BLUE CROSS
Georgia Other 4305494 BLUE CROSS
Georgia Other 3285145 BLUE CROSS
Georgia MEDICAID 519526707A BLUE CROSS
Georgia Other P00177360 BLUE CROSS

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