Dajczak, Stanislaw P

Dajczak, Stanislaw P is an individual health care provider with primary practice located at 1250 Ralston Ave Suite 102, Defiance OH 43512-5311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dajczak, Stanislaw P can be contacted via phone (419) 783-6996.

Contact Information

Primary practice address
1250 Ralston Ave Suite 102 Defiance OH 43512-5311
Phone: (419) 783-6996
Fax: (419) 782-8062
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35085114 Ohio

Profile Details

NPI number 1104819705
LBN Legal business name Dajczak, Stanislaw P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Apr 30th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104819705 NPPES
Ohio Other 000000362612 ANTHEM
Ohio Other 5598615 ANTHEM
Ohio Other 04648 ANTHEM
Ohio Other PO0192953 ANTHEM
Ohio Other 17-98831 ANTHEM
Ohio MEDICAID 2542001 ANTHEM
Ohio Other P00192953 ANTHEM

Popular Providers