Jacewicz, Michael
Jacewicz, Michael is an individual health care provider with primary practice located at 1211 Union Ave Ste 200, Memphis TN 38104-6638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Jacewicz, Michael can be contacted via phone (901) 259-5340.Contact Information
Primary practice address
1211 Union Ave Ste 200
Memphis TN 38104-6638
Phone: (901) 259-5340
Fax: (901) 259-5300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD22223 | Tennessee |
Profile Details
| NPI number | 1427032150 |
|---|---|
| LBN Legal business name | Jacewicz, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Feb 21st, 2008 - about 16 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 | 1427032150 | NPPES |
| Tennessee | MEDICAID | 3067379 |
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