Hajduczyk, Marta A
Hajduczyk, Marta A is an individual health care provider with primary practice located at 1701 S Creasy Ln , Lafayette IN 47905-4972. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Hajduczyk, Marta A can be contacted via phone (765) 502-4917.Contact Information
Primary practice address
1701 S Creasy Ln
Lafayette IN 47905-4972
Phone: (765) 502-4917
Fax: (765) 502-4023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 11014521A | Indiana |
Profile Details
| NPI number | 1275798621 |
|---|---|
| LBN Legal business name | Hajduczyk, Marta A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2008 |
| Last updated | Oct 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275798621 | NPPES |
| Indiana | MEDICAID | 201109080 |
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