Podlaskowich, Jeffrey John

Podlaskowich, Jeffrey John is an sole proprietor health care provider with primary practice located at 30 Prospect Ave , Hackensack NJ 07601-1915. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Nursing Service Providers / Critical Care Medicine. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Podlaskowich, Jeffrey John can be contacted via phone (551) 996-2000.

Contact Information

Primary practice address
30 Prospect Ave Hackensack NJ 07601-1915
Phone: (551) 996-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 152119 Missouri
Nursing Service Providers / Critical Care Medicine 163WC0200X 26NR18530300 New Jersey

Profile Details

NPI number 1568211399
LBN Legal business name Podlaskowich, Jeffrey John
Credentials DNAP, CRNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2024
Last updated May 14th, 2024 - about last year

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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