Mieckowski, Gregory C
Mieckowski, Gregory C is an individual health care provider with primary practice located at 809 Turnpike Ave Imaging Department, Clearfield PA 16830-1232. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mieckowski, Gregory C can be contacted via phone (814) 765-7314.Contact Information
Primary practice address
809 Turnpike Ave Imaging Department
Clearfield PA 16830-1232
Phone: (814) 765-7314
Fax: (814) 339-6165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD026705E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | MD026705E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | MD026705E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | MD026705E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD026705E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | MD026705E | Pennsylvania |
Profile Details
| NPI number | 1528018751 |
|---|---|
| LBN Legal business name | Mieckowski, Gregory C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Oct 17th, 2008 - about 16 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 | 1528018751 | NPPES |
| Other | 300135692 | RR MEDICARE | |
| MEDICAID | 0009876470004 | RR MEDICARE | |
| Other | 026156 | RR MEDICARE |
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