Banasiak, Magdalena Janina

Banasiak, Magdalena Janina is an individual health care provider with primary practice located at 1600 State St , Salem OR 97301-4257. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Banasiak, Magdalena Janina can be contacted via phone (503) 540-6300.

Contact Information

Primary practice address
1600 State St Salem OR 97301-4257
Fax: (503) 540-6404
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD150631 Oregon

Profile Details

NPI number 1134143563
LBN Legal business name Banasiak, Magdalena Janina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jan 9th, 2017 - about 9 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 1134143563 NPPES
Oregon MEDICAID 500626535

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