Radzik, Jan
Radzik, Jan is an individual health care provider with primary practice located at 349 Se Baker St , Mcminnville OR 97128-6039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Radzik, Jan can be contacted via phone (503) 472-9438.Contact Information
Primary practice address
349 Se Baker St
Mcminnville OR 97128-6039
Phone: (503) 472-9438
Fax: (503) 472-9439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD 17050 | Oregon |
Profile Details
| NPI number | 1053467357 |
|---|---|
| LBN Legal business name | Radzik, Jan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1053467357 | NPPES |
| Oregon | MEDICAID | 029186 |
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