Januszkiewicz, Jery

Januszkiewicz, Jery is an sole proprietor health care provider with primary practice located at 1825 Logan Ave , Waterloo IA 50703-1916. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Januszkiewicz, Jery can be contacted via phone (319) 235-3941.

Contact Information

Primary practice address
1825 Logan Ave Waterloo IA 50703-1916
Phone: (319) 235-3941
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 22-149-4440 New Jersey
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD-49234 Iowa

Profile Details

NPI number 1366995094
LBN Legal business name Januszkiewicz, Jery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2016
Last updated Nov 21st, 2023 - about last year

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 1366995094 NPPES
Iowa Other MD-49234 IOWA MEDICAL BOARD
Iowa Other 22-149-4440 IOWA MEDICAL BOARD

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