Pruchniewski, James F

Pruchniewski, James F is an sole proprietor health care provider with primary practice located at 4973 Us Highway 98 N , Lakeland FL 33809-3657. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Pruchniewski, James F can be contacted via phone (863) 859-4434.

Contact Information

Primary practice address
4973 Us Highway 98 N Lakeland FL 33809-3657
Phone: (863) 859-4434
Fax: (863) 859-5184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO1910 Florida

Profile Details

NPI number 1386758134
LBN Legal business name Pruchniewski, James F
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Mar 24th, 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 1386758134 NPPES
Florida MEDICAID 041061600
Florida Other 65027

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