Doctor Name: | WILLIAM R POCZATEK |
NPI Number: | 1043283393 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP |
License Number: | 3923P |
Business Practice Address: | 520 Elizaville Ave Flemingsburg, KY - 410411141 |
Business Phone Number: | 6068450028 |
Business Fax Number: | 6068450263 |
Mailing Address: | Po Box 550, VANCEBURG |
State: | KY |
Postal Code: | 411790550 |
Phone Number: | 6067963029 |
Fax Number: | 6067966221 |
NPI Enumeration Date: | 02/08/2006 |
NPI Last Update Date: | 02/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3923P |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |