Doctor Name: | JOSEPH KRAKOWIAK |
NPI Number: | 1518316041 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 39427 |
Business Practice Address: | 155 Academy Ave Greenwood, SC - 296463869 |
Business Phone Number: | 8647254869 |
Business Fax Number: | 8647254883 |
Mailing Address: | 155 Academy Ave, GREENWOOD |
State: | SC |
Postal Code: | 296463869 |
Phone Number: | 8647254869 |
Fax Number: | 8647254883 |
NPI Enumeration Date: | 06/06/2016 |
NPI Last Update Date: | 06/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 39427 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |