Bienkowski, John Thomas

Bienkowski, John Thomas is an sole proprietor health care provider with primary practice located at 3901 16Th St N , Saint Petersburg FL 33703-5603. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Bienkowski, John Thomas can be contacted via phone (727) 526-5432.

Contact Information

Primary practice address
3901 16Th St N Saint Petersburg FL 33703-5603
Fax: (727) 526-5432
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 6385 Florida

Profile Details

NPI number 1770703613
LBN Legal business name Bienkowski, John Thomas
Credentials M.S.- C.C.C.-S.L.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2007
Last updated Apr 7th, 2011 - about 15 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 1770703613 NPPES
Florida MEDICAID 887478600

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