Stasiuk, Jan M
Stasiuk, Jan M is an individual health care provider with primary practice located at 406 S 30Th Ave Ste 202, Yakima WA 98902-3713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Stasiuk, Jan M can be contacted via phone (509) 972-1051.Contact Information
Primary practice address
406 S 30Th Ave Ste 202
Yakima WA 98902-3713
Phone: (509) 972-1051
Fax: (509) 972-4166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD00035277 | Washington |
Profile Details
| NPI number | 1780693259 |
|---|---|
| LBN Legal business name | Stasiuk, Jan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Dec 17th, 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 | 1780693259 | NPPES |
| Washington | MEDICAID | 8211260 |
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