Klymiuk, Jadwiga A
Klymiuk, Jadwiga A is an individual health care provider with primary practice located at 1500 S Main St , Fort Worth TX 76104-4917. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Klymiuk, Jadwiga A can be contacted via phone (817) 702-4151.Contact Information
Primary practice address
1500 S Main St
Fort Worth TX 76104-4917
Phone: (817) 702-4151
Fax: (817) 702-4161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | L5416 | Texas |
Profile Details
| NPI number | 1093768434 |
|---|---|
| LBN Legal business name | Klymiuk, Jadwiga A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Nov 7th, 2018 - about 6 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 | 1093768434 | NPPES |
| Texas | Other | P00275252 | RAILROAD MEDICARE |
| Texas | MEDICAID | 158291803 | RAILROAD MEDICARE |
| Texas | Other | 8U1298 | RAILROAD MEDICARE |
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