Janicke, David M

Janicke, David M is an individual health care provider with primary practice located at 1540 Maple Rd Emergency Room, Williamsville NY 14221-3647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Janicke, David M can be contacted via phone (716) 691-8838.

Contact Information

Primary practice address
1540 Maple Rd Emergency Room Williamsville NY 14221-3647
Phone: (716) 691-8838
Fax: (716) 564-1134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 181544 New York

Profile Details

NPI number 1194768796
LBN Legal business name Janicke, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Aug 26th, 2009 - about 15 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 1194768796 NPPES
New York Other 000511303006 BLUE CROSS BLUE SHIELD
New York MEDICAID 01290362 BLUE CROSS BLUE SHIELD
New York Other 040426000261 BLUE CROSS BLUE SHIELD
New York Other 110124030 BLUE CROSS BLUE SHIELD
New York Other 00020039602 BLUE CROSS BLUE SHIELD
New York Other 3991179 BLUE CROSS BLUE SHIELD

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