Prysock, William Anthony

Prysock, William Anthony is an individual health care provider with primary practice located at 3851 Palmer Drive Suite 602, Cameron Park CA 95682-8239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Prysock, William Anthony can be contacted via phone (530) 626-2920.

Contact Information

Primary practice address
3851 Palmer Drive Suite 602 Cameron Park CA 95682-8239
Fax: (530) 672-7047
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A9182 California

Profile Details

NPI number 1730169145
LBN Legal business name Prysock, William Anthony
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 8th, 2007 - about 14 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 1730169145 NPPES
Ohio Other 34005342 STATE MEDICAL BOARD

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