Stachowiak, Janice

Stachowiak, Janice is an individual health care provider with primary practice located at 3601 4Th St , Lubbock TX 79430-9410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Stachowiak, Janice can be contacted via phone (806) 743-3150.

Contact Information

Primary practice address
3601 4Th St Lubbock TX 79430-9410
Phone: (806) 743-3150
Fax: (806) 743-3168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K3013 Texas

Profile Details

NPI number 1013906247
LBN Legal business name Stachowiak, Janice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Feb 13th, 2018 - about 8 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 1013906247 NPPES
Texas Other 86E875 BC/BS
Texas MEDICAID 124624100 BC/BS
Texas Other A159 BC/BS
Texas MEDICAID 100154530A BC/BS
Texas MEDICAID 105159102 BC/BS
Texas Other 124624101 BC/BS
Texas MEDICAID 68857 BC/BS
Texas Other 80853Z BC/BS
Texas MEDICAID 105159101 BC/BS
Texas MEDICAID Q5263 BC/BS
Texas Other 68857 BC/BS

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