Jacewicz, George J.
Jacewicz, George J. is an sole proprietor health care provider with primary practice located at 95 Toll Gate Rd , Warwick RI 02886-4443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Jacewicz, George J. can be contacted via phone (401) 738-6111.Contact Information
Primary practice address
95 Toll Gate Rd
Warwick RI 02886-4443
Phone: (401) 738-6111
Fax: (401) 732-0155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 4047 | Rhode Island |
Profile Details
| NPI number | 1639162951 |
|---|---|
| LBN Legal business name | Jacewicz, George J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1639162951 | NPPES |
| Rhode Island | MEDICAID | GJ00045 |
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