Janke, Brian Janke

Janke, Brian Janke is an individual health care provider with primary practice located at 205 Platt Ave , Merritt Island FL 32952-4963. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Janke, Brian Janke can be contacted via phone (321) 615-4800.

Contact Information

Primary practice address
205 Platt Ave Merritt Island FL 32952-4963
Phone: (321) 615-4800
Fax: (321) 574-0590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 9102122 Florida

Profile Details

NPI number 1851493134
LBN Legal business name Janke, Brian Janke
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Dec 8th, 2010 - about 16 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 1851493134 NPPES
Florida Other K9613 MEDICARE GROUP ID #

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