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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1164482774 NPPES
Ohio MEDICAID 0635398
Ohio MEDICAID 0114367000

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