Janik, Grace M
Janik, Grace M is an sole proprietor health care provider with primary practice located at 2315 N Lake Dr Suite 501, Milwaukee WI 53211-4518. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Janik, Grace M can be contacted via phone (414) 289-9668.Contact Information
Primary practice address
2315 N Lake Dr Suite 501
Milwaukee WI 53211-4518
Phone: (414) 289-9668
Fax: (414) 289-0498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 27674-020 | Wisconsin |
Profile Details
| NPI number | 1871693176 |
|---|---|
| LBN Legal business name | Janik, Grace M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Nov 13th, 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 | 1871693176 | NPPES |
| Wisconsin | Other | 391345728029 | ANTHEM BLUE CROSS BLUE SH |
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