Janeczko, Michael John
Janeczko, Michael John is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Neonatology, Philadelphia PA 19104-4319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Janeczko, Michael John can be contacted via phone (215) 829-3191.Contact Information
Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Neonatology
Philadelphia PA 19104-4319
Phone: (215) 829-3191
Fax: (215) 829-7123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | C10010611 | Delaware |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD431490 | Pennsylvania |
Profile Details
| NPI number | 1417168105 |
|---|---|
| LBN Legal business name | Janeczko, Michael John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Mar 7th, 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 | 1417168105 | NPPES |
| Pennsylvania | Other | MD431490 | LICENSE |
| Pennsylvania | MEDICAID | 101960956 | LICENSE |
| Pennsylvania | MEDICAID | 0138681 | LICENSE |
| Pennsylvania | Other | C10010611 | LICENSE |
| Pennsylvania | Other | DR0009576 | LICENSE |
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