Kucharewicz, Jacek M

Kucharewicz, Jacek M is an individual health care provider with primary practice located at 540 Trinity Ln N #8412, St Petersburg FL 33716-1278. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Kucharewicz, Jacek M can be contacted via phone (910) 409-4207.

Contact Information

Primary practice address
540 Trinity Ln N #8412 St Petersburg FL 33716-1278
Phone: (910) 409-4207
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TRAINING LICENSE New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34101 South Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME126030 Florida

Profile Details

NPI number 1437438710
LBN Legal business name Kucharewicz, Jacek M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2011
Last updated Oct 18th, 2016 - about 8 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 1437438710 NPPES
South Carolina Other 34101 STATE LICENSE
South Carolina Other ME126030 STATE LICENSE
South Carolina Other 0101255118 STATE LICENSE

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