Janezic, Matthew James
Janezic, Matthew James is an individual health care provider with primary practice located at 400 E 3Rd St Duluth Clinic, Duluth MN 55805-1951. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Janezic, Matthew James can be contacted via phone (218) 783-8364.Contact Information
Primary practice address
400 E 3Rd St Duluth Clinic
Duluth MN 55805-1951
Phone: (218) 783-8364
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 8200 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 8200 | Wisconsin |
Profile Details
| NPI number | 1386981777 |
|---|---|
| LBN Legal business name | Janezic, Matthew James |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 7th, 2013 |
| Last updated | Jan 26th, 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 | 1386981777 | NPPES |
| Wisconsin | MEDICAID | 1386981777 | |
| Wisconsin | MEDICAID | 1386981777 | |
| Wisconsin | MEDICAID | 1386981777 |
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