Bartoszek, Jack S.

Bartoszek, Jack S. is an individual health care provider with primary practice located at 615 Fulmer Rd , Mishawaka IN 46544-6911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Bartoszek, Jack S. can be contacted via phone (574) 252-3085.

Contact Information

Primary practice address
615 Fulmer Rd Mishawaka IN 46544-6911
Phone: (574) 252-3085
Fax: (574) 252-5906
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 02001105 Indiana

Profile Details

NPI number 1093714818
LBN Legal business name Bartoszek, Jack S.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Sep 20th, 2013 - about 12 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 1093714818 NPPES
Indiana MEDICAID 100335800A
Indiana Other OA41009
Indiana Other 000000109340

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