Maiocco, Janet Merlack

Maiocco, Janet Merlack is an individual health care provider with primary practice located at 9900 Bren Rd E , Minnetonka MN 55343-9664. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Maiocco, Janet Merlack can be contacted via phone (239) 216-2332.

Contact Information

Primary practice address
9900 Bren Rd E Minnetonka MN 55343-9664
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9281347 Florida

Profile Details

NPI number 1801852033
LBN Legal business name Maiocco, Janet Merlack
Credentials MSN NP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Sep 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801852033 NPPES
Ohio Other 341300581054 CARESOURCE
Ohio MEDICAID 2030402 CARESOURCE

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