Januszewski, Jacob

Januszewski, Jacob is an individual health care provider with primary practice located at 2222 S Harbor City Blvd Ste 610 , Melbourne FL 32901-5591. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Januszewski, Jacob can be contacted via phone (321) 723-7716.

Contact Information

Primary practice address
2222 S Harbor City Blvd Ste 610 Melbourne FL 32901-5591
Phone: (321) 723-7716
Fax: (321) 723-0604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X OS14529 Florida

Profile Details

NPI number 1053610808
LBN Legal business name Januszewski, Jacob
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2011
Last updated Jan 21st, 2019 - about 7 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 1053610808 NPPES
Florida Other 1143045 CAREPLUS
Florida Other 9076362 CAREPLUS
Florida Other 4762182 CAREPLUS
Florida MEDICAID 021089200 CAREPLUS
Florida Other 1531493 CAREPLUS
Florida Other W9TNA CAREPLUS

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