Janizek, David Brian

Janizek, David Brian is an individual health care provider with primary practice located at 5001 Us Highway 30 W Ste D , Fort Wayne IN 46818-9701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Janizek, David Brian can be contacted via phone (260) 432-1568.

Contact Information

Primary practice address
5001 Us Highway 30 W Ste D Fort Wayne IN 46818-9701
Fax: (260) 432-4969
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01039174 Indiana

Profile Details

NPI number 1265403398
LBN Legal business name Janizek, David Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jun 17th, 2016 - about 8 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 1265403398 NPPES
Indiana MEDICAID 100320850
Indiana MEDICAID 1265403398
Indiana MEDICAID 2038299

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