Waszak, Louise C
Waszak, Louise C is an sole proprietor health care provider with primary practice located at 4520 W Us Highway 90 , Lake City FL 32055-8341. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Waszak, Louise C can be contacted via phone (386) 719-3939.Contact Information
Primary practice address
4520 W Us Highway 90
Lake City FL 32055-8341
Phone: (386) 719-3939
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP 009371 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30008047 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP 9322769 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | SP002220D | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical | 364SM0705X | AP30008047 | Washington |
Profile Details
| NPI number | 1710964093 |
|---|---|
| LBN Legal business name | Waszak, Louise C |
| Credentials | PHD, ARNP, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1710964093 | NPPES |
| Other | 230417 | L&I | |
| MEDICAID | 9655978 | L&I | |
| Other | G8871962 | L&I | |
| Other | 8946801 | L&I | |
| Other | G8871961 | L&I | |
| Other | 0211088-06 | L&I | |
| Other | 2006009683 | L&I | |
| Other | 20060018 | L&I |
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