Olenczak, John Edward

Olenczak, John Edward is an individual health care provider with primary practice located at 1120A Professional Court , Hagerstown MD 21740-5848. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Olenczak, John Edward can be contacted via phone (301) 739-7900.

Contact Information

Primary practice address
1120A Professional Court Hagerstown MD 21740-5848
Phone: (301) 739-7900
Fax: (301) 739-7112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD035098E Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD035098E Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X D0063781 Maryland

Profile Details

NPI number 1386637858
LBN Legal business name Olenczak, John Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jul 16th, 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 1386637858 NPPES
Maryland MEDICAID 5700680

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