Prokesch, Richard
Prokesch, Richard is an sole proprietor health care provider with primary practice located at 6285 Garden Walk Blvd Ste A, Riverdale GA 30274-2612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Prokesch, Richard can be contacted via phone (770) 991-1150.Contact Information
Primary practice address
6285 Garden Walk Blvd Ste A
Riverdale GA 30274-2612
Phone: (770) 991-1150
Fax: (770) 991-9047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 019754 | Georgia |
Profile Details
| NPI number | 1427064583 |
|---|---|
| LBN Legal business name | Prokesch, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Sep 15th, 2008 - about 18 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 | 1427064583 | NPPES |
| Georgia | MEDICAID | 00159057A |
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