Janicka, Magdalena J

Janicka, Magdalena J is an individual health care provider with primary practice located at 283 S Butler Road , Mt Gretna PA 17064. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Janicka, Magdalena J can be contacted via phone (717) 273-8871.

Contact Information

Primary practice address
283 S Butler Road Mt Gretna PA 17064
Phone: (717) 273-8871
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD422424 Pennsylvania

Profile Details

NPI number 1396776795
LBN Legal business name Janicka, Magdalena J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 8th, 2007 - about 19 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 1396776795 NPPES
Pennsylvania MEDICAID 1009999900001

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