Mateuszczyk, Jaroslaw
Mateuszczyk, Jaroslaw is an individual health care provider with primary practice located at 1205 S Grange Ave Ste 201 , Sioux Falls SD 57105-0414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Mateuszczyk, Jaroslaw can be contacted via phone (605) 328-8188.Contact Information
Primary practice address
1205 S Grange Ave Ste 201
Sioux Falls SD 57105-0414
Phone: (605) 328-8188
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301082045 | Michigan |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 11196 | North Dakota |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 11196 | North Dakota |
Profile Details
NPI number | 1003997230 |
---|---|
LBN Legal business name | Mateuszczyk, Jaroslaw |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2006 |
Last updated | Jul 11th, 2022 - about 2 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 | 1003997230 | NPPES |
North Dakota | MEDICAID | 1458922 | |
North Dakota | MEDICAID | 10503 |
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