Janczak, Richard Matthew

Janczak, Richard Matthew is an individual health care provider with primary practice located at 3154 Park St , Grove City OH 43123-3222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Janczak, Richard Matthew can be contacted via phone (614) 875-0011.

Contact Information

Primary practice address
3154 Park St Grove City OH 43123-3222
Fax: (614) 875-0736
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.048495 Ohio

Profile Details

NPI number 1194764373
LBN Legal business name Janczak, Richard Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 18th, 2021 - about 3 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 1194764373 NPPES
Ohio MEDICAID 0587048

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