Kaniecki, Vida S
Kaniecki, Vida S is an individual health care provider with primary practice located at 6505 Market St Bldg A1 , Youngstown OH 44512-3457. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kaniecki, Vida S can be contacted via phone (330) 746-8040.Contact Information
Primary practice address
6505 Market St Bldg A1
Youngstown OH 44512-3457
Phone: (330) 746-8040
Fax: (330) 746-8025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.134780 | Ohio |
Profile Details
| NPI number | 1730131723 |
|---|---|
| LBN Legal business name | Kaniecki, Vida S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Nov 23rd, 2020 - about 6 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 | 1730131723 | NPPES |
| Pennsylvania | MEDICAID | 0012772440001 | |
| Pennsylvania | Other | 198726H87 | |
| Pennsylvania | Other | 1730131723 |
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