Baranski, Joel Justin

Baranski, Joel Justin is an individual health care provider with primary practice located at 4060 4Th Ave Ste 220, San Diego CA 92103-2120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Baranski, Joel Justin can be contacted via phone (619) 299-2350.

Contact Information

Primary practice address
4060 4Th Ave Ste 220 San Diego CA 92103-2120
Fax: (619) 297-8379
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G67559 California

Profile Details

NPI number 1548265234
LBN Legal business name Baranski, Joel Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jun 28th, 2022 - about 3 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 1548265234 NPPES
California Other WG675590 SO. CALIFORNIA PTAN
California MEDICAID 00G675590 SO. CALIFORNIA PTAN
California Other DX113Y SO. CALIFORNIA PTAN

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