Januszkiewicz, Samuel A
Januszkiewicz, Samuel A is an individual health care provider with primary practice located at 1600 Medical Center Dr Suite B500, Huntington WV 25701-3656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Januszkiewicz, Samuel A can be contacted via phone (304) 691-1500.Contact Information
Primary practice address
1600 Medical Center Dr Suite B500
Huntington WV 25701-3656
Phone: (304) 691-1500
Fax: (304) 691-1510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 13405 | West Virginia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 13405 | West Virginia |
Profile Details
| NPI number | 1164482774 |
|---|---|
| LBN Legal business name | Januszkiewicz, Samuel A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jan 19th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164482774 | NPPES |
| Ohio | MEDICAID | 0635398 | |
| Ohio | MEDICAID | 0114367000 |
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