Kaniefski, Walter J

Kaniefski, Walter J is an individual health care provider with primary practice located at 601 Park St Emergency Medicine Department, Honesdale PA 18431-1445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kaniefski, Walter J can be contacted via phone (570) 253-8140.

Contact Information

Primary practice address
601 Park St Emergency Medicine Department Honesdale PA 18431-1445
Phone: (570) 253-8140
Fax: (570) 253-8633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101055974 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD444759 Pennsylvania

Profile Details

NPI number 1003840422
LBN Legal business name Kaniefski, Walter J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jan 10th, 2012 - about 14 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 1003840422 NPPES
Pennsylvania Other 10394151 CAQH
Pennsylvania MEDICAID PENDING CAQH
Pennsylvania MEDICAID 010295564 CAQH

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