Geneczko, John T

Geneczko, John T is an individual health care provider with primary practice located at 200 Trent Dr 3662 Dumc, Durham NC 27710-2479. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Geneczko, John T can be contacted via phone (919) 684-1817.

Contact Information

Primary practice address
200 Trent Dr 3662 Dumc Durham NC 27710-2479
Phone: (919) 684-1817
Fax: (919) 681-8147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01036161A Indiana

Profile Details

NPI number 1902875727
LBN Legal business name Geneczko, John T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated May 28th, 2013 - about 11 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 1902875727 NPPES
Indiana Other 000000190914 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 100085880 ANTHEM PROVIDER NUMBER
Indiana Other 9397086 ANTHEM PROVIDER NUMBER
Indiana Other 10825131 ANTHEM PROVIDER NUMBER
Indiana MEDICAID GE15365010 ANTHEM PROVIDER NUMBER

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