Bakowicz, Theodore Brian

Bakowicz, Theodore Brian is an individual health care provider with primary practice located at 2580 Haymaker Rd Ste 304 , Monroeville PA 15146-3500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bakowicz, Theodore Brian can be contacted via phone (412) 858-3070.

Contact Information

Primary practice address
2580 Haymaker Rd Ste 304 Monroeville PA 15146-3500
Phone: (412) 858-3070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA003437L Pennsylvania

Profile Details

NPI number 1194799072
LBN Legal business name Bakowicz, Theodore Brian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Sep 18th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194799072 NPPES
Other 13639468 CAQH

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