1295731719 NPI number — DR. LEONARD M ZAPROWSKI D.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295731719 NPI number — DR. LEONARD M ZAPROWSKI D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZAPROWSKI
Provider First Name:
LEONARD
Provider Middle Name:
M
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295731719
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/06/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4075 OLD MILTON PKWY
Provider Second Line Business Mailing Address:
STE 4
Provider Business Mailing Address City Name:
ALPHARETTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30005-4405
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-772-0335
Provider Business Mailing Address Fax Number:
770-772-6773

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4075 OLD MILTON PKWY
Provider Second Line Business Practice Location Address:
STE 4
Provider Business Practice Location Address City Name:
ALPHARETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30005-4405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-772-0335
Provider Business Practice Location Address Fax Number:
770-772-6773
Provider Enumeration Date:
06/21/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  5753 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 207555 . This is a "BCBS" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 582507974 . This is a "UNITED" identifier , issued by the state of ( GU ) . This identifiers is of the category "OTHER".
  • Identifier: 207555 . This is a "ASH" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 0007278065 . This is a "AETNA" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".




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