Ptaszek, David

Ptaszek, David is an individual health care provider with primary practice located at 3999 Fort Campbell Blvd , Hopkinsville KY 42240-4929. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ptaszek, David can be contacted via phone (270) 886-2205.

Contact Information

Primary practice address
3999 Fort Campbell Blvd Hopkinsville KY 42240-4929
Phone: (270) 886-2205
Fax: (270) 886-0392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 78 Kentucky

Profile Details

NPI number 1902221336
LBN Legal business name Ptaszek, David
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2014
Last updated Feb 21st, 2014 - about 12 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 1902221336 NPPES
Kentucky MEDICAID 30602015

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