Halczenko, Paul William
Halczenko, Paul William is an individual health care provider with primary practice located at 2001 W 86Th St , Indianapolis IN 46260-1902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Halczenko, Paul William can be contacted via phone (317) 338-8861.Contact Information
Primary practice address
2001 W 86Th St
Indianapolis IN 46260-1902
Phone: (317) 338-8861
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 426479 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 01071583A | Indiana |
Profile Details
| NPI number | 1194954420 |
|---|---|
| LBN Legal business name | Halczenko, Paul William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2009 |
| Last updated | Apr 21st, 2017 - about 7 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 | 1194954420 | NPPES |
| Florida | Other | CH862Z | MEDICARE PTAN |
| Florida | MEDICAID | 001393000 | MEDICARE PTAN |
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