Slomba, Jan M
Slomba, Jan M is an sole proprietor health care provider with primary practice located at 355 Ovington Ave Suite 203, Brooklyn NY 11209-1483. 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. Slomba, Jan M can be contacted via phone (718) 759-0108.Contact Information
Primary practice address
355 Ovington Ave Suite 203
Brooklyn NY 11209-1483
Phone: (718) 759-0108
Fax: (718) 759-0109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 228292 | New York |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 228292 | New York |
Profile Details
| NPI number | 1689658007 |
|---|---|
| LBN Legal business name | Slomba, Jan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Jun 13th, 2014 - about 11 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 | 1689658007 | NPPES |
| New York | MEDICAID | 02431652 |
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