Prusakowski, Joseph M

Prusakowski, Joseph M is an individual health care provider with primary practice located at 90 Hospital Rd Suite 200, Brookville PA 15825-1382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Prusakowski, Joseph M can be contacted via phone (814) 849-1874.

Contact Information

Primary practice address
90 Hospital Rd Suite 200 Brookville PA 15825-1382
Fax: (814) 849-1444
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS003498L Pennsylvania

Profile Details

NPI number 1598875148
LBN Legal business name Prusakowski, Joseph M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 8th, 2016 - about 10 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 1598875148 NPPES
Pennsylvania MEDICAID 0007277640001

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