Kaniecki, Vida S

Kaniecki, Vida S is an individual health care provider with primary practice located at 6505 Market St Bldg A1 , Youngstown OH 44512-3457. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kaniecki, Vida S can be contacted via phone (330) 746-8040.

Contact Information

Primary practice address
6505 Market St Bldg A1 Youngstown OH 44512-3457
Phone: (330) 746-8040
Fax: (330) 746-8025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.134780 Ohio

Profile Details

NPI number 1730131723
LBN Legal business name Kaniecki, Vida S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Nov 23rd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730131723 NPPES
Pennsylvania MEDICAID 0012772440001
Pennsylvania Other 198726H87
Pennsylvania Other 1730131723

Popular Providers