Januszewski, Alicia Lee

Januszewski, Alicia Lee is an individual health care provider with primary practice located at 1000 E Mountain Blvd , Wilkes Barre PA 18711-0027. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Januszewski, Alicia Lee can be contacted via phone (570) 808-6000.

Contact Information

Primary practice address
1000 E Mountain Blvd Wilkes Barre PA 18711-0027
Phone: (570) 808-6000
Fax: (570) 808-6061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA053189 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA053189 Pennsylvania

Profile Details

NPI number 1316135726
LBN Legal business name Januszewski, Alicia Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2007
Last updated Dec 30th, 2020 - about 4 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 1316135726 NPPES
Pennsylvania Other P00444524 RR MEDICARE PTAN
Pennsylvania Other CA5965 RR MEDICARE PTAN
Pennsylvania Other 50073484 RR MEDICARE PTAN
Pennsylvania Other 232809429008 RR MEDICARE PTAN

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