Badaczewski, Adam Joseph
Badaczewski, Adam Joseph is an individual health care provider with primary practice located at 3057 Trenwest Dr , Winston Salem NC 27103-3220. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Badaczewski, Adam Joseph can be contacted via phone (336) 765-0710.Contact Information
Primary practice address
3057 Trenwest Dr
Winston Salem NC 27103-3220
Phone: (336) 765-0710
Fax: (336) 765-0821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC006652 | Pennsylvania |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 706 | North Carolina |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | SC006652 | Pennsylvania |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 706 | North Carolina |
Profile Details
| NPI number | 1255726071 |
|---|---|
| LBN Legal business name | Badaczewski, Adam Joseph |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2015 |
| Last updated | Aug 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255726071 | NPPES |
| Pennsylvania | MEDICAID | 103485196 |
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