Prusaczyk, Joseph

Prusaczyk, Joseph is an individual health care provider with primary practice located at 13035 Olive Blvd , Saint Louis MO 63141-6173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Prusaczyk, Joseph can be contacted via phone (314) 434-3114.

Contact Information

Primary practice address
13035 Olive Blvd Saint Louis MO 63141-6173
Phone: (314) 434-3114
Fax: (314) 434-3117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 31728 Missouri

Profile Details

NPI number 1730295759
LBN Legal business name Prusaczyk, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 8th, 2007 - 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.

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