Slowikowski, Jacek S
Slowikowski, Jacek S is an individual health care provider with primary practice located at 2001 Crystal Spring Ave Sw Ste 300, Roanoke VA 24014-2465. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Slowikowski, Jacek S can be contacted via phone (540) 342-7941.Contact Information
Primary practice address
2001 Crystal Spring Ave Sw Ste 300
Roanoke VA 24014-2465
Phone: (540) 342-7941
Fax: (540) 345-8423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101047687 | Virginia |
| Other Service Providers / Specialist | 174400000X | 010147687 | Virginia |
Profile Details
| NPI number | 1871597625 |
|---|---|
| LBN Legal business name | Slowikowski, Jacek S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Feb 11th, 2019 - about 5 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 | 1871597625 | NPPES |
| Virginia | MEDICAID | 5804876 | |
| Virginia | MEDICAID | 006073115 |
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