Maciejewski, Andrzej R
Maciejewski, Andrzej R is an sole proprietor health care provider with primary practice located at 3260 Providence Dr #523, Anchorage AK 99508-4608. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Maciejewski, Andrzej R can be contacted via phone (907) 569-1049.Contact Information
Primary practice address
3260 Providence Dr #523
Anchorage AK 99508-4608
Phone: (907) 569-1049
Fax: (907) 563-4564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 1004693 | Alaska |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4655 | Alaska |
Profile Details
| NPI number | 1194780114 |
|---|---|
| LBN Legal business name | Maciejewski, Andrzej R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Dec 16th, 2021 - about 3 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 | 1194780114 | NPPES |
| Alaska | MEDICAID | MD2805 | |
| Alaska | Other | P00117806 |
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